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

East Texas Border Health Clinic

Organization Dentist · NPI 1104361781

East Texas Border Health Clinic is a Dentist in Texarkana, Texas. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
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Practice location Address checks out

1400 College Dr
Texarkana, TX 75503-3536
Phone: (903) 791-1110
Fax: (903) 791-9353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Dentist Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1104361781
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEast Texas Border Health Clinic
Authorized official Carla Roadcap — Ceo · (903) 927-3782
Other names Genesis Primecare; Genesis Primecare
NPI enumeratedJanuary 5, 2017
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing addressPo Box 1326, Marshall, TX 75671-1326

Other providers in Texarkana