SPANISH TRACE CLINIC
NPI 1639163363
Family Medicine in Texarkana, AR

Active since September 08, 2005
1205 E 35TH ST, TEXARKANA, AR 71854(903) 735-5355(903) 735-5399 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Spanish Trace Clinic NPPES

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

SPANISH TRACE CLINIC (NPI 1639163363) is a healthcare organization registered as a family medicine in Texarkana, Arkansas and active in the NPI registry since September 2005. The organization lists Jerry B Srtingfellow, Provider, as its authorized official.

NPPES Registry Identity

NPI1639163363
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPANISH TRACE CLINIC
Location Address1205 E 35TH STTexarkana, AR 71854-2746
Mailing AddressPo Box 811Texarkana, TX 75504-0811 · (903) 735-5355 · Fax (903) 735-5399
Fax(903) 735-5399
Organization SubpartNo
Authorized OfficialJerry B SrtingfellowProvider · (903) 735-5355
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJuly 21, 2022
NPI 1639163363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1205 E 35TH ST, Texarkana, AR 71854

Other Identifiers 3

Other5C286AR · Blue Cross
OtherCJ8571Railroad Medicare
Other46KUTX · Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
1205 E 35TH ST
TEXARKANA, AR 71854
Nurse Practitioner
1205 E 35TH ST
TEXARKANA, AR 71854
Clinic/Center (Federally Qualified Health Center (FQHC))
1205 E 35TH ST
TEXARKANA, AR 71854
Nurse Practitioner (Family)
1205 E 35TH ST
TEXARKANA, AR 71854
Nurse Practitioner (Family)
1205 E 35TH ST
TEXARKANA, AR 71854
Clinic/Center
1205 E 35TH ST
TEXARKANA, AR 71854
Nurse Practitioner (Family)
1205 E 35TH ST
TEXARKANA, AR 71854
Nurse Practitioner (Family)
1205 E 35TH ST
TEXARKANA, AR 71854

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 Spanish Trace Clinic's NPI number?

The NPI number for Spanish Trace Clinic is 1639163363. It was assigned to this organization in the NPPES registry on September 8, 2005.

Where is Spanish Trace Clinic located?

Spanish Trace Clinic is located at 1205 E 35th St, Texarkana, AR 71854. The listed phone number is (903) 735-5355.

What is Spanish Trace Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Spanish Trace Clinic was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.