Organization
FOUR STATES RETINA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHAN GEORGE MD (OWNER)
(903) 204-7642
Entity
Organization
Contact information
Practice address
5501 MEDICAL PARKWAY DR, TEXARKANA, TX 75503-4624
(804) 647-2381
(903) 204-7745
Mailing address
5501 MEDICAL PARKWAY DR, TEXARKANA, TX 75503-4624
(903) 204-7642
(903) 204-7745
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
02/19/2026
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