During this COVID-19 pandemic, PTCOA is here for you. Welcome to the Pain Treatment Centers of America in Texarkana, AR, opened May 28, 2019. PTCOA is Arkansas’s largest fully comprehensive pain management practice with multiple locations to best serve our patients. We have dedicated physicians, a state of the art surgery center, medication monitoring CLIA certified labs and the most combined pain management experience of any practice in the state. All of this excellence in medical care with one focus – to help restore quality of life.