FOUR STATES RETINA PLLC
NPI 1083580815
Ophthalmology - Retina Specialist in Texarkana, TX

Active since October 17, 2025
5501 MEDICAL PARKWAY DR, TEXARKANA, TX 75503(804) 647-2381(903) 204-7745 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Four States Retina Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR STATES RETINA PLLC (NPI 1083580815) is a healthcare organization registered as a retina specialist in Texarkana, Texas and active in the NPI registry since October 2025. The organization lists Roshan George, Owner, as its authorized official.

NPPES Registry Identity

NPI1083580815
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameFOUR STATES RETINA PLLC
Location Address5501 MEDICAL PARKWAY DRTexarkana, TX 75503-4624
Mailing Address5501 Medical Parkway DrTexarkana, TX 75503-4624 · (903) 204-7642 · Fax (903) 204-7745
Fax(903) 204-7745
Organization SubpartNo
Authorized OfficialRoshan GeorgeOwner · (903) 204-7642
Enumeration DateOctober 17, 2025
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
NPI 1083580815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
5501 MEDICAL PARKWAY DR, Texarkana, TX 75503

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
5501 MEDICAL PARKWAY DR
TEXARKANA, TX 75503
Counselor (Professional)
5501 MEDICAL PARKWAY DR
TEXARKANA, TX 75503
Ophthalmology (Retina Specialist)
5501 MEDICAL PARKWAY DR
TEXARKANA, TX 75503
Clinic/Center (Mental Health (Including Community Mental Health Center))
5501 MEDICAL PARKWAY DR
TEXARKANA, TX 75503
Psychiatry & Neurology (Psychiatry)
5501 MEDICAL PARKWAY DR
TEXARKANA, TX 75503
Psychiatry & Neurology (Psychiatry)
5501 MEDICAL PARKWAY DR
TEXARKANA, TX 75503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four States Retina PLLC's NPI number?

The NPI number for Four States Retina PLLC is 1083580815. It was assigned to this organization in the NPPES registry on October 17, 2025.

Where is Four States Retina PLLC located?

Four States Retina PLLC is located at 5501 Medical Parkway Dr, Texarkana, TX 75503. The listed phone number is (804) 647-2381.

What is Four States Retina PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

When was this NPI record last updated?

The NPPES record for Four States Retina PLLC was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.