NPI age
11 years
Enumerated 2014-09-15
● Active Type 2 · Organization
Pam Squared At Texarkana, Llc
Pam Squared At Texarkana, Llc is 1 of 175 long term care hospital organizations in Texas.
Primary specialty
Long Term Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Misitano
President
Last NPPES update
2016-10-20
Source: monthly bulk 2026-05
How this organization compares
Across 175 active long term care hospital providers in Texas.
NPI age
11 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-09Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
1000 Pine St, 6th Floor
Texarkana, TX 755015100
Mailing address
1828 Good Hope Rd, Suite 102
Enola, PA 170251233
Authorized official
Anthony F. Misitano
President
📞 7177319660
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Robert Bowers, MD Emergency Medicine NPI 1710926258
- Jeri Brocker, FNP Nurse Practitioner NPI 1477893873
- Cornelia Carden, CRNA Nurse Anesthetist, Certified Registered NPI 1639142318
- David Carlisle, MD Specialist NPI 1649275496
- Amy Carmeli, RD Dietitian, Registered NPI 1518920891
- Johnny Colley, MD Anesthesiology NPI 1578562252
- Zubaer Dawlah, M.D. Internal Medicine NPI 1679573299
- Amber Easley, RD Dietitian, Registered NPI 1548223829
- George English, M.D. Pathology NPI 1316947195
- Sher Fomby, NP-C Nurse Practitioner NPI 1821616343
- Robert Fry, M.D. Emergency Medicine NPI 1720089360
- Richard Hennessey, CRNA Nurse Anesthetist, Certified Registered NPI 1598713521
- Cristi Hicks, N.P. Nurse Practitioner NPI 1205388212
- Zachary Jones, CRNA Nurse Anesthetist, Certified Registered NPI 1609401959
- Lynn Jorgensen-Benefiel, R.PH. Pharmacist NPI 1104967280
- Richard Loeffler, CRNA Nurse Anesthetist, Certified Registered NPI 1043268071
- Malcolm MacHauer, M.D. Emergency Medicine NPI 1114928892
- Mark McCrary, M.D. Emergency Medicine NPI 1023019668
- Martin McIntosh, CRNA Nurse Anesthetist, Certified Registered NPI 1598723215
- Charles Niziol, MD Emergency Medicine NPI 1073552741
Specialties
-
Long Term Care Hospital PrimaryLong-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 357622501 | |
| 05 (OK) | 200645170 B | |
| 05 (AR) | 208485105 | |
| 05 (TX) | 357622502 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
PAM Specialty Hospital of Texarkana South
Practice context
Multi-provider organization. 20 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 →
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