Organization
ARK-LA-TEX HEALTH CENTER PC
Active
Other names
Ark-La-Tex Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D RAKER DC (CEO)
(870) 773-7246
Entity
Organization
Contact information
Practice address
1414 ARKANSAS BLVD, TEXARKANA, AR 71854-1604
(870) 773-7246
(870) 772-2568
Mailing address
1414 ARKANSAS BLVD, TEXARKANA, AR 71854-1604
(870) 773-7246
(870) 772-2568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1141
AR
207Q00000X
Family Medicine Physician
Primary
N8393
AR
363LA2100X
Acute Care Nurse Practitioner
A01334
AR
363LF0000X
Family Nurse Practitioner
AO3679
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152398002
—
AR
Enumeration date
04/27/2006
Last updated
10/01/2024
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