ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC
NPI 1629034863
Specialist in Texarkana, TEXAS

Active since April 25, 2006
1002 TEXAS BLVD., SUITE 501, TEXARKANA, TEXAS 75501(903) 792-5005(903) 791-1569 Get Directions Write a Review

NPPES record last updated: June 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Orthopedic Specialists Of Texarkana Pllc NPPES

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

ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC (NPI 1629034863) is a healthcare organization registered as a specialist in Texarkana, TEXAS and active in the NPI registry since April 2006. The organization lists Jeffrey Thomas Dehaan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629034863
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC
Location Address1002 TEXAS BLVD., SUITE 501Texarkana, TEXAS 75501
Mailing AddressPo Box 7648Texarkana, TX 75505-7648 · (903) 792-5005 · Fax (903) 791-1569
Fax(903) 791-1569
Organization SubpartNo
Authorized OfficialJeffrey Thomas DehaanCeo · (903) 792-5005
Enumeration DateApril 25, 2006
Last NPPES UpdateJune 9, 2009
NPI 1629034863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · G2594
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1002 TEXAS BLVD., Texarkana, TEXAS 75501

Other Identifiers 10

Other=========30AR · Arkansas Qualchoice
Other180802400TX · Dept Of Labor
Medicaid109415302TX
Other94AUTX · Texas Bcbs
Medicare PIN94AUTX
Medicaid131747002AR
OtherCE7233TX · Medicare Railroad
Other85756AR · Arkansas Bcbs
Other5G239AR · Arkansas Medicare
Medicaid100754980AOK

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

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

Orthopaedic Surgery
1002 TEXAS BLVD., SUITE 501
TEXARKANA, TX 75501

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 Orthopedic Specialists Of Texarkana PLLC's NPI number?

The NPI number for Orthopedic Specialists Of Texarkana PLLC is 1629034863. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Orthopedic Specialists Of Texarkana PLLC located?

Orthopedic Specialists Of Texarkana PLLC is located at 1002 Texas Blvd. Suite 501, Texarkana, TEXAS 75501. The listed phone number is (903) 792-5005.

What is Orthopedic Specialists Of Texarkana PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Orthopedic Specialists Of Texarkana PLLC was last updated on June 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.