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 1548745383

East Texas Border Health Clinic is a Counselor in Texarkana, Arkansas. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
6

Practice location Address checks out

4077 Jefferson Ave
Texarkana, AR 71854-1509
Phone: (903) 614-5270
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
Social Worker Taxonomy 104100000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1548745383
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 enumeratedSeptember 27, 2018
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing addressPo Box 1326, Marshall, TX 75671-1326

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