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EDWARD TIMOTHY OKELLEY MD PC
NPI 1407553936
Nurse Practitioner - Primary Care in Texarkana, TX

Active since February 15, 2023
5803 STONERIDGE DR, TEXARKANA, TX 75503(972) 632-9642 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Timothy Okelley Md Pc NPPES

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

EDWARD TIMOTHY OKELLEY MD PC (NPI 1407553936), doing business as Pallicare, is a healthcare organization registered as a primary care in Texarkana, Texas and active in the NPI registry since February 2023. The organization lists Jonathan Fluhart, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407553936
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameEDWARD TIMOTHY OKELLEY MD PC
Location Address5803 STONERIDGE DRTexarkana, TX 75503-1461
Mailing Address5803 Stoneridge DrTexarkana, TX 75503-1461 · (972) 632-9642
Phone(972) 632-9642
Organization SubpartNo
Authorized OfficialJonathan FluhartCeo · (972) 632-9642
Enumeration DateFebruary 15, 2023
NPPES CertifiedFebruary 8, 2023
✔ NPI 1407553936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
5803 STONERIDGE DR, Texarkana, TX 75503
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Other Names 1

Doing Business AsPallicare

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 MULTIPLE 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.

PALLICARE HEALTH, PLLC
Nurse Practitioner (Community Health)
5803 STONERIDGE DR
TEXARKANA, TX 75503
Bowie County (972) 632-9642
DR. PRINCESS ZITA IFUNANYA ANIGBOGU DNP, APRN, FNP-BC
Nurse Practitioner (Family)
5803 STONERIDGE DR
TEXARKANA, TX 75503
Bowie County (888) 725-5422
PALLICARE, INC
Nurse Practitioner (Community Health)
5803 STONERIDGE DR
TEXARKANA, TX 75503
Bowie County (972) 632-9642
TIFFANY A HUGHES APRN, AGNP-C
Nurse Practitioner
5803 STONERIDGE DR
TEXARKANA, TX 75503
Bowie County (888) 725-5422
MRS. TAMARA NICOLE UPCHURCH AGPCNP-BC
Hospice Care, Community Based
5803 STONERIDGE DR
TEXARKANA, TX 75503
Bowie County (888) 725-5422
HILIARY NEVILLE NP-C
Nurse Practitioner
5803 STONERIDGE DR
TEXARKANA, TX 75503
Bowie County (888) 725-5422

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 Edward Timothy Okelley MD PC's NPI number?

The NPI number for Edward Timothy Okelley MD PC is 1407553936. It was assigned to this organization in the NPPES registry on February 15, 2023. The provider is doing business as PalliCare.

Where is Edward Timothy Okelley MD PC located?

Edward Timothy Okelley MD PC is located at 5803 Stoneridge Dr, Texarkana, TX 75503. The listed phone number is (972) 632-9642.

What is Edward Timothy Okelley MD PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Edward Timothy Okelley MD PC was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.