Organization
EAST TEXAS BORDER HEALTH CLINIC
Active
Other names
GENESIS PRIMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA ROADCAP (CEO)
(903) 927-3782
Entity
Organization
Contact information
Practice address
1411 COLLEGE DR, TEXARKANA, TX 75503-3533
(903) 791-1110
(903) 794-2979
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
07/25/2025
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