East Texas Medical Specialists Pllc
LBN: East Texas Medical Specialists Pllc
East Texas Medical Specialists Pllc is an health care organization with primary practice located at 700 E Marshall Ave , Longview TX 75601-5580. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty.
East Texas Medical Specialists Pllc can be contacted via phone (903) 315-2000, or through Upchurch, Stanley D. via phone (903) 315-2445.
Contact Information
Primary practice address
700 E Marshall Ave
Longview TX 75601-5580
Phone: (903) 315-2000
Fax:
Website:
Authorized official contact:
Name: Upchurch, Stanley D. Doctor of Medicine (MD)
Phone: (903) 315-2445
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1235162777 |
|---|---|
| LBN Legal business name | East Texas Medical Specialists Pllc |
| DBA Doing business as | |
| Authorized official | Upchurch, Stanley D. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jun 10th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235162777 | NPPES |
| Texas | MEDICAID | 165657101 | |
| Texas | Other | 0008LT |
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