Nacogdoches Cardiac Center, P.A.

LBN: Nacogdoches Cardiac Center, P.A.
Nacogdoches Cardiac Center, P.A. is an health care organization with primary practice located at 1023 N Mound St Suite K, Nacogdoches TX 75961-4491. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Nacogdoches Cardiac Center, P.A. can be contacted via phone (936) 564-2099, or through Pokala, Vijaya R via phone (936) 564-2099.

Contact Information

Primary practice address
1023 N Mound St Suite K Nacogdoches TX 75961-4491
Phone: (936) 564-2099
Fax: (936) 564-2083
Website:
Map and Directions
Authorized official contact:
Name: Pokala, Vijaya R M.D., F.A.C.C.
Phone: (936) 564-2099

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H6917 Texas
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X L05982 Texas

Profile Details

NPI number 1437160777
LBN Legal business name Nacogdoches Cardiac Center, P.A.
DBA Doing business as
Authorized official Pokala, Vijaya R M.D., F.A.C.C.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1437160777 NPPES
Texas MEDICAID 179845601

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