Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Texas Border Health Clinic

Organization Family Medicine Physician · NPI 1053663690

East Texas Border Health Clinic is a Family Medicine Physician in Texarkana, Texas. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

1400 College Dr
Texarkana, TX 75503-3536
Phone: (903) 791-1110
Fax: (903) 791-9353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1053663690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carla Roadcap — Ceo · (903) 927-3782
Other names Genesis Primecare; Genesis Primecare
NPI enumeratedOctober 5, 2012
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing addressPo Box 1326, Marshall, TX 75671-1326

Other providers in Texarkana