1. Home
  2. Directory
  3. Texas
  4. Texarkana
  5. Internal Medicine
  6. NPI Profile

PULMONARY DISEASES MEDICINE CLINIC
NPI 1114044328
Internal Medicine - Pulmonary Disease in Texarkana, TX

Active since March 23, 2007
921 TEXAS BLVD STE D, TEXARKANA, TX 75501(903) 792-3660(903) 793-3187 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pulmonary Diseases Medicine Clinic NPPES

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

PULMONARY DISEASES MEDICINE CLINIC (NPI 1114044328) is a healthcare organization registered as a pulmonary disease in Texarkana, Texas and active in the NPI registry since March 2007. The organization lists Becky Watkins, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114044328
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NamePULMONARY DISEASES MEDICINE CLINIC
Location Address921 TEXAS BLVD STE DTexarkana, TX 75501-5163
Mailing Address921 Texas Blvd Ste DTexarkana, TX 75501-5163 · (903) 792-3660 · Fax (903) 793-3187
Phone(903) 792-3660
Fax(903) 793-3187
Organization SubpartNo
Authorized OfficialBecky WatkinsOffice Manager · (903) 792-3660
Enumeration DateMarch 23, 2007
Last NPPES UpdateApril 28, 2008
✔ NPI 1114044328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
921 TEXAS BLVD STE D, Texarkana, TX 75501
Open in Google Maps ↗

Other Identifiers 7

Other90815000040AR · Qual Choice
Other0055RTX · Tx Bcbs
Other200092730AOK · Ok Caid
Medicare ID-Type Unspecified00055RTX · Medicare Id
Medicaid1415531 01TX
OtherDA7905TX · Rr Medicare
Other8P083AR · Ar Bcbs

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pulmonary Diseases Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pulmonary Diseases Medicine Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mandy Carter, ACNP
Nurse Practitioner
NPI 1699066969
921 TEXAS BLVD STE D
Texarkana, TX 75501
(903) 792-3660
✔ PECOS✔ Accepts MedicareSame address
Carlos Perez, MD
Pulmonary Disease
NPI 1598783870
921 TEXAS BLVD STE D
Texarkana, TX 75501
(903) 792-3660
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pulmonary Diseases Medicine Clinic's NPI number?

The NPI number for Pulmonary Diseases Medicine Clinic is 1114044328. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Pulmonary Diseases Medicine Clinic located?

Pulmonary Diseases Medicine Clinic is located at 921 Texas Blvd Ste D, Texarkana, TX 75501. The listed phone number is (903) 792-3660.

What is Pulmonary Diseases Medicine Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pulmonary Diseases Medicine Clinic enrolled in Medicare?

Yes. Pulmonary Diseases Medicine Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pulmonary Diseases Medicine Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pulmonary Diseases Medicine Clinic, in Nurse Practitioner and Pulmonary Disease. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pulmonary Diseases Medicine Clinic accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Pulmonary Diseases Medicine Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pulmonary Diseases Medicine Clinic was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.