Nacogdoches Family Practice, Pa

LBN: Nacogdoches Family Practice, Pa
Nacogdoches Family Practice, Pa is an health care organization with primary practice located at 1023 N Mound St Suite A, Nacogdoches TX 75961-4491. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Nacogdoches Family Practice, Pa can be contacted via phone (936) 564-2691, or through Emborgo, Edwin via phone (936) 564-2691.

Contact Information

Primary practice address
1023 N Mound St Suite A Nacogdoches TX 75961-4491
Phone: (936) 564-2691
Fax: (936) 560-5224
Website:
Map and Directions
Authorized official contact:
Name: Emborgo, Edwin Doctor of Medicine (MD)
Phone: (936) 564-2691

Health care specialties

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

Profile Details

NPI number 1235317082
LBN Legal business name Nacogdoches Family Practice, Pa
DBA Doing business as
Authorized official Emborgo, Edwin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2008
Last updated Jun 22nd, 2010 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235317082 NPPES
Texas Other M8458 TEXAS MEDICAL LICENSE
Texas MEDICAID 203713701 TEXAS MEDICAL LICENSE

Popular Providers