SPANISH TRACE CLINIC – Family Medicine Physician, NPI 1639163363

SPANISH TRACE CLINIC is a healthcare provider. based in Texarkana, Texas. specializing in Family Medicine Physician. The organization holds a License No. ========= (AR). The NPI Number for SPANISH TRACE CLINIC is 1639163363

Main info

Organization
Name
SPANISH TRACE CLINIC
NPI
1639163363
Phone
(903) 735-5355
Address
PO BOX 811
Authorized Official
DR. JERRY B SRTINGFELLOW PROVIDER MD
Enumeration Date
8 September 2005
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SPANISH TRACE CLINIC

  • PO BOX 811

    TEXARKANA, TX 755040811

    Phone: (903) 735-5355

    Fax: (903) 735-5399

    Type: Mailing

  • 1205, East 35th Street, Texarkana, Miller County, Arkansas, 71854, United States

    TEXARKANA, AR 718542746

    Phone: (903) 735-5355

    Fax: (903) 735-5399

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 75504)

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Reviews

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Frequently asked questions

How is SPANISH TRACE CLINIC identified in CMS data?
CMS-hosted NPPES data lists SPANISH TRACE CLINIC with NPI 1639163363.
Is SPANISH TRACE CLINIC still practicing?
SPANISH TRACE CLINIC is currently listed as active in the public NPI registry.
What healthcare role does SPANISH TRACE CLINIC hold?
Scheduling teams often label SPANISH TRACE CLINIC under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SPANISH TRACE CLINIC on a map?
Expect Texarkana, Texas as a primary anchor for SPANISH TRACE CLINIC unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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