ADRA ETHO NPI 1265618953

NPI Information

  • NPI: 1265618953
  • Provider Name: ADRA ETHO
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 1201 W FRANK AVE
    LUFKIN, TX
    ZIP 75904
  • Phone: (936) 637-6415

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NPI Details

ADRA ETHO is a diagnostic radiology radiology in Lufkin, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ADRA ETHO NPI is 1265618953. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1201 W FRANK AVE
LUFKIN, TX
ZIP 75904-357
Phone: (936) 637-6415

The provider's authorized official is Darwin Clark .
The authorized official title is President and has the following contact phone number (936) 637-6415.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 1/14/2008.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 3/30/2025

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