East Texas Medical Specialties
LBN: East Texas Medical Specialties
East Texas Medical Specialties is an health care organization with primary practice located at 3226 N University Dr Ste 200 , Nacogdoches TX 75965-2698. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
East Texas Medical Specialties can be contacted via phone (936) 564-2710, or through Adams, Elizabeth via phone (936) 564-2710.
Contact Information
Primary practice address
3226 N University Dr Ste 200
Nacogdoches TX 75965-2698
Phone: (936) 564-2710
Fax: (936) 564-2791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | K9503 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | K4263 | Texas |
Profile Details
| NPI number | 1154432706 |
|---|---|
| LBN Legal business name | East Texas Medical Specialties |
| DBA Doing business as | |
| Authorized official | Adams, Elizabeth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jan 21st, 2011 - about 14 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 | 1154432706 | NPPES |
| Texas | MEDICAID | 142409501 |
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