Pineywoods Diagnostic Clinic Of East Texas Pa
LBN: Pineywoods Diagnostic Clinic Of East Texas Pa
Pineywoods Diagnostic Clinic Of East Texas Pa is an health care organization with primary practice located at 400 W Church St , Livingston TX 77351-3416. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Pineywoods Diagnostic Clinic Of East Texas Pa can be contacted via phone (936) 327-7733, or through Bachireddy, Ravinder R via phone (936) 632-8787.
Contact Information
Primary practice address
400 W Church St
Livingston TX 77351-3416
Phone: (936) 327-7733
Fax: (936) 327-2248
Website:
Authorized official contact:
Name: Bachireddy, Ravinder R Doctor of Medicine (MD)
Phone: (936) 632-8787
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1265519730 |
|---|---|
| LBN Legal business name | Pineywoods Diagnostic Clinic Of East Texas Pa |
| DBA Doing business as | |
| Authorized official | Bachireddy, Ravinder R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 31st, 2008 - about 16 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 | 1265519730 | NPPES |
| Texas | MEDICAID | 176384901 | |
| Texas | Other | 0022MU |
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