Provider Demographics
NPI:1558413427
Name:NEUROSURGICAL ASSOCIATES OF TEXARKANA, INC.
Entity Type:Organization
Organization Name:NEUROSURGICAL ASSOCIATES OF TEXARKANA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-794-4196
Mailing Address - Street 1:PO BOX 9600
Mailing Address - Street 2:DEPT 09-019
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75505-9600
Mailing Address - Country:US
Mailing Address - Phone:903-794-4196
Mailing Address - Fax:903-792-7408
Practice Address - Street 1:1002 TEXAS BLVD STE 406
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75501-5113
Practice Address - Country:US
Practice Address - Phone:903-794-4196
Practice Address - Fax:903-792-7408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
91421OtherFIRST PYRAMID LIFE
TXCP4245OtherRAILROAD MEDICARE
MDK0047OtherREHAB
AR113562002Medicaid
00DG35OtherINDIGENT HEALTH CARE
53713OtherCHAMPUS
179117500OtherUS DEPT OF LABOR
AR91421OtherBLUE CROSS ARK
TX00DG45OtherBLUE CROSS TEXAS
TX094806902Medicaid
OK100752110AMedicaid
91421OtherCOLLUM & CARNEY CLINIC
TX00DG35Medicare PIN