EAST TEXAS BORDER HEALTH CLINIC – NPI #1053845636
Clinic/Center

EAST TEXAS BORDER HEALTH CLINIC is an AHC clinic located in MARSHALL, TX. NPPES has assigned the NPI number 1053845636 to EAST TEXAS BORDER HEALTH CLINIC on April 20, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Nov 13, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST TEXAS BORDER HEALTH CLINIC below.

NPI Profile for
EAST TEXAS BORDER HEALTH CLINIC

NPI Number
1053845636
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST TEXAS BORDER HEALTH CLINIC
Primary location
1900 E END BLVD N
MARSHALL, TX 75670
Phone: (903) 927-6620 Fax: (903) 927-6625
Mailing address
PO BOX 1326
MARSHALL, TX 75671-1326
Phone: (903) 927-3782 Fax: (903) 927-1764
Organization Subpart
No
Authorized Official
CARLA ROADCAP
CEO
Phone: (903) 927-3782
Updated
Certification Date
Nov 13, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EAST TEXAS BORDER HEALTH CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX372586301
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
208000000X
- Pediatrics
174400000X
- Specialist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.