Texarkana is the medical hub for a large, mostly rural four-states region — people drive in from across Northeast Texas, Southwest Arkansas, Southeast Oklahoma and Northwest Louisiana for care here. For day-to-day needs the area is well covered: two full hospitals, a large multispecialty clinic, urgent cares, a VA clinic and safety-net providers.

The single biggest recent change: both of Texarkana’s major hospitals are now owned by CHRISTUS Health. CHRISTUS already ran St. Michael; in late 2024 it also took over the former Wadley Regional Medical Center after Wadley’s parent company went bankrupt. That kept a hospital open that might otherwise have closed — but it also means one health system now anchors most inpatient care in town.

CHRISTUS St. Michael Health System

The area’s largest hospital and only trauma center. A faith-based (Catholic) system on the Texas side, St. Michael handles the region’s most serious cases.

• Size: 311-bed acute-care hospital
• Trauma: Level III Trauma Center — its ER treats 63,000+ patients a year, more than any other area ED
• Notable: Level III NICU, ACC-accredited Chest Pain Center with primary PCI (emergency heart-attack care), Magnet-recognized for nursing
• Also in the system: the 50-bed CHRISTUS St. Michael Rehabilitation Hospital and the 43-bed CHRISTUS St. Michael Hospital–Atlanta (in Atlanta, TX)
• Address: 2600 St. Michael Dr, Texarkana, TX 75503
• Website: christushealth.org

CHRISTUS Health Pine Street (formerly Wadley Regional Medical Center)

The city’s second hospital, rebranded after a rescue. For generations this was Wadley Regional Medical Center. Its parent company, Steward Health Care, filed for bankruptcy in 2024; CHRISTUS Health stepped in, and the sale was finalized in November 2024. It now operates as CHRISTUS Health Pine Street.

• Services: Emergency and inpatient care, surgical services, cardiology, physical therapy, and women’s health including childbirth
• Continuity: CHRISTUS retained nearly all of the hospital’s clinicians and staff through the transition
• Address: 1000 Pine St, Texarkana, TX 75501

The $227M hospital that sits empty

At the corner of University Avenue and West Park Boulevard, a partially completed $227 million hospital building stands unused. It was originally meant to be the new home of Wadley Regional Medical Center, but the project stalled when Wadley’s former parent company, Steward Health Care, went bankrupt.

• Ownership: The building is now controlled by Medical Properties Trust (MPT) following Steward’s bankruptcy.
• Size: Nearly 400,000 square feet, including a 143,000-square-foot medical office building.
• Capacity: Designed for 123 beds, with room to expand to 291.
• Status: No future tenant has been announced. MPT is actively seeking a partner or operator to put the space to use as an acute-care hospital.

Meanwhile, the Wadley operation itself lives on under new ownership: CHRISTUS Health acquired it and continues to run it from its historic downtown location at 1000 Pine Street (now CHRISTUS Health Pine Street).

Beyond the hospitals, most everyday care happens in clinics and physician offices.

Collom & Carney Clinic

The area’s big independent multispecialty group — more than 100 providers across primary care and specialties, with on-site imaging, lab, pharmacy and services like orthopedics, cardiology and vascular care. For many families it’s a one-stop option that isn’t tied to a hospital system.

• Main campus: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 • (903) 614-3000
• Website: cccahealth.com

Special Health Resources (community health center)

A Federally Qualified Health Center (FQHC) safety-net provider with Texarkana Care Clinics on both sides of the line. It offers primary care for adults and children, dental, women’s health, behavioral health and infectious-disease care — on a sliding fee scale for the uninsured and underinsured.

Family Medical Group

A locally owned primary-care group with 11 providers across three Texas-side locations, open seven days a week. It covers everyday family medicine — wellness exams, immunizations, sick visits and transitional care — plus occupational health (pre-employment physicals and drug testing) and virtual visits for minor, non-emergency issues.

• Galleria (Texarkana): 2101 Galleria Oaks Dr, Texarkana, TX 75503 • (903) 791-9120
• Wake Village: 5212 W 7th St, Wake Village, TX 75501 • (903) 831-6848
• Nash: 4105 N Kings Hwy, Texarkana, TX 75503 • (903) 838-0444
• Website: fmgoftexarkana.com

CHRISTUS Trinity Clinic

CHRISTUS’s own physician clinic group, with offices around town tied to the St. Michael system. The Richmond Road clinic offers family medicine for all ages — annual physicals and health screenings, sports physicals, chronic-disease management, internal medicine and pediatric primary care — plus physical therapy, with virtual visits available through the MyCHRISTUS patient portal.

• Richmond Road: 3510 Richmond Rd, Ste 100, Texarkana, TX 75503 • (903) 614-5220 • Mon–Fri 8 a.m.–5 p.m.
• Website: christushealth.org

Many independent physicians also run primary-care and specialty offices around town. If you’re choosing a primary-care doctor, check which hospital system they admit to — it can shape where you’re referred for specialty care.

Picking the right door saves money and time. Here’s the rule of thumb:

Urgent care options include Healthcare Express and Access Medical Clinic (walk-in, primary and pediatric care). Emergency care is available at the two hospital ERs, plus freestanding ERs such as Texarkana Emergency Center & Hospital and SignatureCare Emergency Center.

Beyond the two hospital emergency rooms, the Texarkana area has several freestanding emergency rooms — standalone, around-the-clock ERs that aren’t physically attached to a hospital. They’re staffed for true emergencies and have on-site imaging and labs, but as noted above they bill like a hospital ER, so they’re not a cheaper stand-in for urgent care or your regular doctor. The main ones are all on the Texas side:

All three are open 24/7. For a life-threatening emergency, call 911 rather than driving yourself — an ambulance can begin care on the way and take you to the most appropriate facility.

Arkansas Heart Hospital Texarkana

Little Rock’s nationally known Arkansas Heart Hospital picked Texarkana for its first out-of-state location — a 21,000-square-foot outpatient clinic that opened in 2022 on Galleria Oaks Drive, with 12 exam rooms and on-site imaging and lab.

The clinic covers general cardiology, interventional cardiology and electrophysiology (heart-rhythm care), plus vein and vascular services — and its team also includes bariatric (weight-loss) surgery consults. It’s staffed by Arkansas Heart Hospital cardiologists and nurse practitioners; patients who need a procedure or surgery are typically treated at the main hospital in Little Rock, with testing and follow-up handled here in town.

• Location: 3930 Galleria Oaks Dr, Texarkana, TX 75503 • (903) 336-6900
• Website: arheart.com

For emergency heart-attack care, the local 911 system and the hospital ERs are still the right call — St. Michael is the area’s accredited Chest Pain Center with emergency PCI. The heart hospital clinic is for scheduled, outpatient cardiology.

The anchor for public behavioral health on the Texas side is Community Healthcore — a Certified Community Behavioral Health Clinic (CCBHC) and the local mental-health authority for the region. It provides outpatient therapy, medication management, crisis services, and specialized help for veterans and people with co-occurring substance-use disorders, regardless of ability to pay.

• Community Healthcore: 2435 College Dr, Texarkana, TX • communityhealthcore.com
• In a crisis: call or text 988 (the Suicide & Crisis Lifeline), available 24/7

For inpatient psychiatric care, the area’s dedicated facility is Riverview Behavioral Health — a 62-bed psychiatric hospital on the Arkansas side, operated by Acadia Healthcare. It treats adolescents (ages 11–17), adults and senior adults with inpatient hospitalization, plus medically supervised detox and an intensive outpatient program for adults. Admissions and free assessments are available 24/7, and walk-ins are welcome.

• Riverview Behavioral Health: 701 Arkansas Blvd, Texarkana, AR 71854 • (877) 405-0155 • riverviewbehavioralhealth.com

As in much of rural America, inpatient psychiatric beds are limited here, and longer-term or specialized psychiatric admissions sometimes require placement elsewhere. Start with Community Healthcore, a hospital ER (for an acute crisis), or 988 to get connected.

Veterans: the Texarkana VA Clinic — a 21,000-square-foot community-based outpatient clinic that opened in 2022 — offers primary care, mental health, women’s health, audiology, optometry, lab and physical therapy. It’s an outpatient clinic tied to the Overton Brooks VA Medical Center in Shreveport; inpatient and many specialty VA services are handled there or in Little Rock.

• Texarkana VA Clinic: 5701 Summerhill Rd, Texarkana, TX 75503

Uninsured or low-income? Special Health Resources’ Texarkana Care Clinics (FQHC, above) provide primary, dental and behavioral care on a sliding scale. Hospital financial-assistance programs and the local health departments are other entry points.

Texarkana covers the vast majority of routine and acute needs — but some highly specialized care isn’t available locally, and patients are referred or transferred out. The most common examples:

• Major / complex trauma. St. Michael is a Level III trauma center; the most severe trauma is sometimes flown to a Level I center in Shreveport, Little Rock or Dallas.
• Complex pediatric and neonatal care. There’s no children’s hospital in Texarkana. Beyond St. Michael’s Level III NICU, complex pediatric specialty cases typically go to Arkansas Children’s (Little Rock) or children’s hospitals in Dallas.
• Transplants, advanced cancer, and complex cardiac or neuro surgery. These often mean a referral to larger academic centers — Shreveport, Little Rock, Dallas, or UT Health in Tyler.

If you’re managing a serious or rare condition, ask your local doctor early which regional center they partner with — it affects records, scheduling and follow-up.

Emergency & crisis numbers:

• 911 — medical emergencies
• 988 — Suicide & Crisis Lifeline (call or text, 24/7)
• 1-800-222-1222 — Poison Control