NACOGDOCHES COUNTY HOSPITAL DISTRICT NPI 1053711804

NPI Information

  • NPI: 1053711804
  • Provider Name: NACOGDOCHES COUNTY HOSPITAL DISTRICT
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • :
  • Address: 1204 N MOUND ST
    NACOGDOCHES, TX
    ZIP 75961
  • Phone: (936) 568-8523

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NPI Details

NACOGDOCHES COUNTY HOSPITAL DISTRICT is an obstetrics gynecology in Nacogdoches, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NACOGDOCHES COUNTY HOSPITAL DISTRICT NPI is 1053711804. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1204 N MOUND ST
NACOGDOCHES, TX
ZIP 75961
Phone: (936) 568-8523
Fax: (936) 568-8588

The provider's authorized official is Johnica Lowery .
The authorized official title is Director Of Operations and has the following contact phone number (936) 568-8511.

The enumeration date for this NPI number is 8/29/2014 and was last updated on 6/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
5208600000XSurgeryNo
62086S0129XSurgeryVascular SurgeryNo
7208800000XUrologyNo
8363A00000XPhysician AssistantNo
9363L00000XNurse PractitionerNo
10363LF0000XNurse PractitionerFamilyNo
11363LW0102XNurse PractitionerWomen's HealthNo
12367A00000XAdvanced Practice MidwifeNo
13207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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