GENESIS PRIME CARE – NPI #1194332155
Family Medicine

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.

GENESIS PRIME CARE is a provider located in ATLANTA, TX. NPPES has assigned the NPI number 1194332155 to GENESIS PRIME CARE on September 24, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GENESIS PRIME CARE” is a dba name, the actual legal business name for this organization is EAST TEXAS BORDER HEALTH CLINIC. According to the NPI data, there are 8 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Aug 05, 2024. 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 GENESIS PRIME CARE below.

NPI Profile for
EAST TEXAS BORDER HEALTH CLINIC

NPI Number
1194332155
Enumeration Date

(more than 5 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
Doing Business As (dba): GENESIS PRIME CARE
Primary location
1011 S WILLIAM ST
ATLANTA, TX 75551-3245
Phone: (903) 796-2868 Fax: (903) 796-0802
8 Other location(s):
1205 E 35th St
Texarkana, AR 71854-2746
Phone: (870) 216-0080
Fax: (870) 216-0093
618 S Grove St Ste 100&300
Marshall, TX 75670-5294
Phone: (903) 927-6620
620 S Grove St Ste 105
Marshall, TX 75670-5295
Phone: (903) 935-9441
Fax: (903) 938-1246
622 S Grove St
Marshall, TX 75670-5251
Phone: (903) 702-7900
Fax: (903) 702-7904
705 S Grove St
Marshall, TX 75670-5220
Phone: (903) 472-7307
Fax: (903) 472-7309
805 Lindsey Dr
Marshall, TX 75670-5271
Phone: (903) 938-1146
Fax: (903) 927-2434
1400 College Dr
Texarkana, TX 75503-3536
Phone: (903) 791-1110
Fax: (903) 791-9353
1411 College Dr
Texarkana, TX 75503-3533
Phone: (903) 791-1110
Fax: (903) 794-2979
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
Aug 05, 2024

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.

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.

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.