| East Texas Border Health Clinic | |
|
805 Lindsey Dr Marshall TX 75670-5271 | |
| (903) 938-1146 | |
| (903) 927-2434 |
| Full Name | East Texas Border Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 Lindsey Dr, Marshall, Texas |
| Authorized Official Name and Position | Carla Roadcap (CEO) |
| Authorized Official Contact | 9039273782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Border Health Clinic Po Box 1326 Marshall TX 75671-1326 Ph: (903) 927-3782 | East Texas Border Health Clinic 805 Lindsey Dr Marshall TX 75670-5271 Ph: (903) 938-1146 |
| NPI Number | 1558329797 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 8820038565 |
|---|---|
| Medicare Enrollment ID | O20050511001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558329797 | NPI | - | NPPES |
| 192226201 | Medicaid | TX | |
| 174139901 | Medicaid | TX | |
| 0089LZ | Other | TX | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Johnny W Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417958042 PECOS PAC ID: 7810971298 Enrollment ID: I20040614001626 |
| Provider Name | Jeri Kellett Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851429229 PECOS PAC ID: 1658343900 Enrollment ID: I20040809000418 |
| Provider Name | Antoinette Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659302545 PECOS PAC ID: 8820098007 Enrollment ID: I20070111000651 |
| Provider Name | Ricky A Paul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073699500 PECOS PAC ID: 3577546696 Enrollment ID: I20070222000254 |
| Provider Name | Jeffory W Beaty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194715888 PECOS PAC ID: 5799886339 Enrollment ID: I20070726000174 |
| Provider Name | Lloyd M Fruge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275547242 PECOS PAC ID: 9830248640 Enrollment ID: I20090528000213 |
| Provider Name | Debra Wright-bowers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144459231 PECOS PAC ID: 9931254083 Enrollment ID: I20090826000269 |
| Provider Name | James A Scales |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750381158 PECOS PAC ID: 8820138621 Enrollment ID: I20091229000225 |
| Provider Name | Joe Daniel Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619080561 PECOS PAC ID: 0840329801 Enrollment ID: I20100831000455 |
| Provider Name | Sherrie L Fitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194824193 PECOS PAC ID: 9234253014 Enrollment ID: I20100831000577 |
| Provider Name | Nita Ann Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669465795 PECOS PAC ID: 1951595008 Enrollment ID: I20101102001104 |
| Provider Name | Stephen K Erlewine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588668453 PECOS PAC ID: 9537060801 Enrollment ID: I20101215000637 |
| Provider Name | Rikki Dawn Sandvik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972808277 PECOS PAC ID: 9133305931 Enrollment ID: I20110511000873 |
| Provider Name | Kristen L Coats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417243700 PECOS PAC ID: 4789854431 Enrollment ID: I20110907001104 |
| Provider Name | Sunnie S Hooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386895191 PECOS PAC ID: 8224280904 Enrollment ID: I20121203000312 |
| Provider Name | Melinda Sue Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356784649 PECOS PAC ID: 9931348091 Enrollment ID: I20130620000609 |
| Provider Name | Veronica R Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215032636 PECOS PAC ID: 5799908000 Enrollment ID: I20140516001323 |
| Provider Name | Pamela R Wyatt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942592225 PECOS PAC ID: 0749457000 Enrollment ID: I20141013000283 |
| Provider Name | Gregory Scott Hortman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972583383 PECOS PAC ID: 5294744900 Enrollment ID: I20151201001473 |
| Provider Name | Norman Houchen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487637054 PECOS PAC ID: 5890099071 Enrollment ID: I20160209000799 |
| Provider Name | Gary Reed Brouillette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780044834 PECOS PAC ID: 4688970650 Enrollment ID: I20160317000768 |
| Provider Name | Almer Hadaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720416308 PECOS PAC ID: 5890912109 Enrollment ID: I20160827000137 |
| Provider Name | Krista Niemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124396833 PECOS PAC ID: 6002197894 Enrollment ID: I20170110003080 |
| Provider Name | Stephanie K Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598286734 PECOS PAC ID: 9638444904 Enrollment ID: I20171012001824 |
| Provider Name | Kish L Carlton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194144246 PECOS PAC ID: 7719283852 Enrollment ID: I20171030000686 |
| Provider Name | Jennifer Lynn Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316450497 PECOS PAC ID: 3375801707 Enrollment ID: I20171213000159 |
| Provider Name | Danette R Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285060012 PECOS PAC ID: 0749540011 Enrollment ID: I20180206000270 |
| Provider Name | Jared D Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467011239 PECOS PAC ID: 6406182260 Enrollment ID: I20190731003397 |
| Provider Name | Tirsa E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821554296 PECOS PAC ID: 1052653409 Enrollment ID: I20191011001677 |
| Provider Name | Kelli Michelle Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740807759 PECOS PAC ID: 9436574126 Enrollment ID: I20200728003096 |
| Provider Name | Mikala Brooke Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841729480 PECOS PAC ID: 0143646919 Enrollment ID: I20200811004055 |
| Provider Name | Terri A Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073892634 PECOS PAC ID: 9436376423 Enrollment ID: I20201007001784 |
| Provider Name | Jody A Barham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992081491 PECOS PAC ID: 6103092051 Enrollment ID: I20201008002207 |
| Provider Name | Kelsie M Court |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982128716 PECOS PAC ID: 4486926664 Enrollment ID: I20201228000022 |
| Provider Name | Shannon Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912507419 PECOS PAC ID: 7315350626 Enrollment ID: I20210106000311 |
| Provider Name | Amanda M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720618390 PECOS PAC ID: 2062814031 Enrollment ID: I20210713003196 |
| Provider Name | Andrea York |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558368498 PECOS PAC ID: 4688867245 Enrollment ID: I20211018001553 |
| Provider Name | Cheyanne B Autry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639806607 PECOS PAC ID: 7214310739 Enrollment ID: I20220816003750 |
| Provider Name | Jessica C Malca-pastakia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518685957 PECOS PAC ID: 5496126088 Enrollment ID: I20230118001458 |
| Provider Name | Tiffany A Mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730847237 PECOS PAC ID: 8628440302 Enrollment ID: I20230206001595 |
| Provider Name | Melinda Fenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669165932 PECOS PAC ID: 4082073754 Enrollment ID: I20230629000912 |
| Provider Name | Craig Martin Biggar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902350267 PECOS PAC ID: 6204285083 Enrollment ID: I20231206001715 |
| Provider Name | Kayla Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821875568 PECOS PAC ID: 4284083817 Enrollment ID: I20231207004200 |
| Provider Name | Stacy Michelle Humphrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487810396 PECOS PAC ID: 3678996972 Enrollment ID: I20231218004212 |
| Provider Name | Deborah James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629348982 PECOS PAC ID: 9931559895 Enrollment ID: I20231219002243 |
| Provider Name | Ashli Kay Sutton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033359088 PECOS PAC ID: 4688024417 Enrollment ID: I20231220001442 |
| Provider Name | Rosharon Shunta Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588039671 PECOS PAC ID: 6507219789 Enrollment ID: I20240124003770 |
| Provider Name | Amy E Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649328808 PECOS PAC ID: 0345685715 Enrollment ID: I20240226002898 |
| Provider Name | Andrea Yarbrough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083315105 PECOS PAC ID: 6406399864 Enrollment ID: I20240613004134 |
| Provider Name | Tina Etminan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275114811 PECOS PAC ID: 5496298630 Enrollment ID: I20240617002115 |
| Provider Name | Jennifer Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154158699 PECOS PAC ID: 2769914134 Enrollment ID: I20241010002649 |
| Provider Name | Tara Ashley Holland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639435233 PECOS PAC ID: 1850600248 Enrollment ID: I20241120004380 |
| Provider Name | Scott Walls |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720242431 PECOS PAC ID: 0244393999 Enrollment ID: I20250206000023 |
| Provider Name | Pamela R Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942592225 PECOS PAC ID: 0749457000 Enrollment ID: I20250207001394 |
| Provider Name | Mary Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083611057 PECOS PAC ID: 4981603693 Enrollment ID: I20250609000280 |
| Provider Name | Vanessa Satterfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750935540 PECOS PAC ID: 4082157797 Enrollment ID: I20250610002338 |
Dcs Medical Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 E End Blvd N Ste E, Marshall, TX 75670 Phone: 903-472-5191 | |
East Texas Border Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 622 S Grove St, Marshall, TX 75670 Phone: 903-702-7900 Fax: 903-702-7904 | |
East Texas Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 S Washington Ave, Marshall, TX 75670 Phone: 903-320-3200 Fax: 903-471-8655 | |
Harrison County Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Lindsey Dr, Marshall, TX 75670 Phone: 903-927-6315 | |
Marshall Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Lindsey St, Marshall, TX 75670 Phone: 903-927-6140 Fax: 903-927-6117 | |
Care First Physicians Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Tiger Dr, Marshall, TX 75670 Phone: 903-472-3338 Fax: 972-367-3451 | |
East Texas Precision Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 S Washington Ave, Marshall, TX 75670 Phone: 903-320-3200 Fax: 903-471-8655 |