| Genesis Primecare | |
|
1400 College Dr Texarkana TX 75503-3536 | |
| (903) 791-1110 | |
| (903) 791-9353 |
| Full Name | Genesis Primecare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 College Dr, Texarkana, 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 |
|---|---|
| Genesis Primecare Po Box 1326 Marshall TX 75671-1326 Ph: (903) 927-3782 | Genesis Primecare 1400 College Dr Texarkana TX 75503-3536 Ph: (903) 791-1110 |
| NPI Number | 1053663690 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 08/28/2023 |
| Medicare PECOS PAC ID | 8820038565 |
|---|---|
| Medicare Enrollment ID | O20130109000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053663690 | NPI | - | NPPES |
| 192226202 | Medicaid | TX | |
| 198049002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Express Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5483 Summerhill Rd, Texarkana, TX 75503 Phone: 903-223-5931 Fax: 903-223-5930 | |
Genesisprimecare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-791-9353 | |
Trimuph Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4082 Summerhill Sq, Texarkana, TX 75503 Phone: 903-793-7994 Fax: 903-793-7996 | |
Hygeia At Delphi Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 Lawson Cir, Texarkana, TX 75503 Phone: 903-556-9317 | |
Nathan J Wright Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-2991 Fax: 903-793-7996 | |
Ranga Balasekaran Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Texas Blvd Ste 401, Texarkana, TX 75501 Phone: 903-792-4146 Fax: 903-792-0586 |