P Praxis·MD
● Active Type 1 · Individual

DR. Kevin John Formes, D.O.

Internal Medicine·Texarkana, TX· NPI 1497878474 · Enumerated 2007 · 19 years on NPI
Formes is 1 of 3 internal medicine providers in Texarkana and 1 of 883 in Texas.
NPI age
19 years
Enumerated 2007-04-06
Primary specialty
Internal Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 883 active internal medicine providers in Texas.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
0
72% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
2604 Saint Michael Dr Ste 346
Texarkana, TX 755032378
📞 9036145750
Mailing address
1002 Texas Blvd Ste 401
Texarkana, TX 755015113
📞 9037948820fax 9037948878

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
5002 Cowhorn Creek Rd
Texarkana, TX 755039766
📞 9036143213
Location 3
1002 Texas Blvd, Suite 401
Texarkana, TX 755015107
📞 9037948820fax 9037948878
Location 4
2604 Saint Michael Dr Ste 238
Texarkana, TX 755032378
📞 9037948820

Specialties

  • Internal Medicine Primary
    An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
    TX license #M0077 taxonomy 207RI0011X

Identifiers

TypeValueNotes
05 (TX) 211561001
01 (TX) P00836010 RR MEDICARE
05 (AR) 182168003
05 (OK) 200287540A

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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