Utmb Faculty Group Practice

LBN: Utmb Faculty Group Practice
Utmb Faculty Group Practice is an health care organization with primary practice located at 206 Mimms Ave , Nacogdoches TX 75961-5028. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Utmb Faculty Group Practice can be contacted via phone (936) 560-0515, or through Smith, Cynthia L. via phone (409) 772-2222.

Contact Information

Primary practice address
206 Mimms Ave Nacogdoches TX 75961-5028
Phone: (936) 560-0515
Fax: (936) 560-1636
Website:
Map and Directions
Authorized official contact:
Name: Smith, Cynthia L.
Phone: (409) 772-2222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1760423974
LBN Legal business name Utmb Faculty Group Practice
DBA Doing business as
Authorized official Smith, Cynthia L.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Sep 22nd, 2009 - about 15 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 1760423974 NPPES
Texas MEDICAID 109372602

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