Cline Family Practice

LBN: Cline Family Practice
Cline Family Practice is an health care organization with primary practice located at 4604 Ne Stallings Dr , Nacogdoches TX 75965-1608. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cline Family Practice can be contacted via phone (936) 559-8770, or through Cline, Mark A via phone (936) 559-8770.

Contact Information

Primary practice address
4604 Ne Stallings Dr Nacogdoches TX 75965-1608
Phone: (936) 559-8770
Fax: (936) 559-8773
Website:
Map and Directions
Authorized official contact:
Name: Cline, Mark A Doctor of Medicine (MD)
Phone: (936) 559-8770

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1992168900
LBN Legal business name Cline Family Practice
DBA Doing business as
Authorized official Cline, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2016
Last updated Mar 29th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992168900 NPPES
Texas MEDICAID 135176907
Texas MEDICAID 135176908
Texas Other 0026BS

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