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

East Texas Border Health Clinic

Organization Counselor · NPI 1093186249

East Texas Border Health Clinic is a Counselor in Texarkana, Arkansas. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4

Practice location Address checks out

1205 E 35th St
Texarkana, AR 71854-2746
Phone: (870) 216-0080
Fax: (870) 216-0093
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
Counselor Taxonomy 101Y00000X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1093186249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carla Roadcap — Ceo · (903) 927-3782
Other names Genesis Primecare; Genesis Primecare
NPI enumeratedOctober 14, 2015
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing addressPo Box 1326, Marshall, TX 75671-1326

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