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EAST TEXAS MEDICAL SPECIALTIES NPI 1154432706


NPI Information

NPI: 1154432706
Provider Name: EAST TEXAS MEDICAL SPECIALTIES
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
3226 N UNIVERSITY DR STE 200
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 564-2710
Get Directions

EAST TEXAS MEDICAL SPECIALTIES is an interventional pain medicine pain medicine in Nacogdoches, TX. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. EAST TEXAS MEDICAL SPECIALTIES NPI is 1154432706. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3226 N UNIVERSITY DR STE 200
NACOGDOCHES, TX
ZIP 75965-698
Phone: (936) 564-2710
Fax: (936) 564-2791

The provider's authorized official is Elizabeth Adams .
The authorized official title is Office Mgr and has the following contact phone number (936) 564-2710.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/21/2011.


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
1207RN0300XInternal MedicineNephrologyK9503TEXASNo
2208VP0014XPain MedicineInterventional Pain MedicineK4263TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1142409501MEDICAIDTEXAS
200176RMEDICARE ID-TYPE UNSPECIFIEDTEXAS

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: 5/5/2024

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