NPI age
11 years
Enumerated 2014-08-27
● Active Type 2 · Organization
East Texas Border Health Clinic
East Texas Border Health Clinic is 1 of 894 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roadcap
Ceo
Last NPPES update
2023-08-28
Source: monthly bulk 2026-05
How this organization compares
Across 894 active clinic/center providers in Texas.
NPI age
11 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-08Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
2131 S Mobberly Ave
Longview, TX 756023563
Mailing address
Po Box 1326
Marshall, TX 756711326
Authorized official
Carla Roadcap
Ceo
📞 9039273782
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Paul Burch, PA-C Physician Assistant NPI 1033401559
- Vada Culpepper, PA-C Physician Assistant NPI 1972688497
- Julia Russell, FNP Nurse Practitioner NPI 1982954566
- Jeffrey Sewell, MD Pediatrics NPI 1740288430
- Meliana Tiphete, APRN, FNP Nurse Practitioner NPI 1477201127
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 340584701 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
GENESIS PRIMECARE
-
GENESIS PRIMECARE
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.