East Texas Border Health Clinic
NPI 1194332155 · Family Medicine Physician · Atlanta, TX
Provider details
- NPI number
- 1194332155
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carla Roadcap, Ceo(903) 927-3782
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Ambulatory Family Planning Facility261QA0005X
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
9 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Genesis Prime Care
- Doing business as
- Genesis Prime Care
Additional practice locations (8)
- 1205 E 35th StTexarkana, AR 71854-2746Phone: (870) 216-0080Fax: (870) 216-0093
- 805 Lindsey DrMarshall, TX 75670-5271Phone: (903) 938-1146Fax: (903) 927-2434
- 705 S Grove StMarshall, TX 75670-5220Phone: (903) 472-7307Fax: (903) 472-7309
- 622 S Grove StMarshall, TX 75670-5251Phone: (903) 702-7900Fax: (903) 702-7904
- 620 S Grove St Ste 105Marshall, TX 75670-5295Phone: (903) 935-9441Fax: (903) 938-1246
- 618 S Grove St Ste 100&300Marshall, TX 75670-5294Phone: (903) 927-6620
- 1400 College DrTexarkana, TX 75503-3536Phone: (903) 791-1110Fax: (903) 791-9353
- 1411 College DrTexarkana, TX 75503-3533Phone: (903) 791-1110Fax: (903) 794-2979
Registry dates
- Enumerated
- 2020-09-24
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.