Organization
NEUROSURGICAL ASSOCIATES OF TEXARKANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL CURTIS (PRACTICE ADMINISTRATOR)
(903) 794-4196
Entity
Organization
Contact information
Practice address
1002 TEXAS BLVD, SUITE 406, TEXARKANA, TX 75501-5113
(903) 794-4196
(903) 792-7408
Mailing address
PO BOX 9600, DEPT 09-019, TEXARKANA, TX 75505-9600
(903) 794-4196
(903) 792-7408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K1252
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DG35
TEXAS BLUE CROSS GP NO#
TX
01
—
00DG35
INDIGENT HEALTH CARE
—
05
—
094806902
—
TX
05
—
100752110A
—
OK
05
—
113562002
—
AR
01
—
179117500
US DEPARTMENT OF LABOR
—
01
—
53713
CHAMPUS
—
01
—
91421
BLUE CROSS OF ARKANSAS
AR
01
—
91421
FIRST PYRAMID LIFE
—
01
—
CP4245
RAILROAD MEDICARE
TX
Enumeration date
12/11/2006
Last updated
05/01/2013
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