Healthcare Provider Details

I. General information

NPI: 1285908335
Provider Name (Legal Business Name): B PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2012
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 TEXAS BLVD STE 401
TEXARKANA TX
75501-5113
US

IV. Provider business mailing address

1002 TEXAS BLVD STE 401
TEXARKANA TX
75501-5113
US

V. Phone/Fax

Practice location:
  • Phone: 903-792-4003
  • Fax: 903-794-6743
Mailing address:
  • Phone: 903-792-4003
  • Fax: 903-794-6743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP1266
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMANDA STRICKLAND
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 903-792-4003