TEXARKANA CLINIC – Federally Qualified Health Center (FQHC), NPI 1326460858

TEXARKANA CLINIC is a healthcare provider. based in Texarkana, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for TEXARKANA CLINIC is 1326460858

Main info

Organization
Name
TEXARKANA CLINIC
NPI
1326460858
Phone
(903) 792-5924
Address
1002 TEXAS BLVD
Authorized Official
MRS. JESSICA ROLDAN CEO
Enumeration Date
17 January 2014
Last Update Date
12 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness90
Years active:12State licenses:0Digital endpoints

Provider Addresses for TEXARKANA CLINIC

  • 1002 TEXAS BLVD

    STE 320, 325

    TEXARKANA, TX 755015118

    Phone: (903) 792-5924

    Fax: (903) 792-8224

    Type: Location

  • PO BOX 2709

    LONGVIEW, TX 756062709

    Phone: (903) 234-0776

    Fax: (903) 234-9769

    Type: Mailing

  • 1102 MAIN ST

    TEXARKANA, TX 755014313

    Phone: (903) 792-5924

    Fax: (903) 792-8224

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20151027002189OFederally Qualified Health Center (Fqhc)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75501)

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Reviews

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Frequently asked questions

What identifier follows TEXARKANA CLINIC across health systems?
The NPI 1326460858 uniquely identifies TEXARKANA CLINIC in U.S. healthcare data.
Quick check: is TEXARKANA CLINIC active?
Public NPPES data shows TEXARKANA CLINIC with an active NPI status right now.
What does the directory say TEXARKANA CLINIC does?
Insurance directories may phrase it differently, but here TEXARKANA CLINIC maps to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Is TEXARKANA CLINIC tied to Texarkana, Texas?
If you are local to Texarkana, Texas, TEXARKANA CLINIC may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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