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General NPI Number Information
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NPI Number | 1326460858
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Entity Type | Organization
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Legal Business Name | SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1002 TEXAS BLVD STE 320, 325
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City | TEXARKANA
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State | TX
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Zip | 75501-5118
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Country | US
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Telephone | 903-792-5924
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Fax | 903-792-8224
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Provider Business Mailing Address
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Address Line | PO BOX 2709
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City | LONGVIEW
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State | TX
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Zip | 75606-2709
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Country | US
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Telephone | 903-234-0776
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Fax | 903-234-9769
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Authorized Official
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Title or Position | CEO
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Name | MRS. JESSICA ROLDAN
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Credential |
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Telephone | 903-234-0776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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