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

Four States Retina PLLC

Organization Retina Specialist (Ophthalmology) Physician · NPI 1083580815

Four States Retina PLLC is a Retina Specialist (Ophthalmology) Physician in Texarkana, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5501 Medical Parkway Dr
Texarkana, TX 75503-4624
Phone: (804) 647-2381
Fax: (903) 204-7745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X

Record details

NPI number1083580815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roshan George — Owner · (903) 204-7642
NPI enumeratedOctober 17, 2025
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address5501 Medical Parkway Dr, Texarkana, TX 75503-4624

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