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TEXAS INSTITUTE FOR KIDNEY AND ENDOCRINE DISORDERS PA NPI 1295915338


NPI Information

NPI: 1295915338
Provider Name: TEXAS INSTITUTE FOR KIDNEY AND ENDOCRINE DISORDERS, PA
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
10 MEDICAL CENTER BLVD STE A
LUFKIN, TX
ZIP 75904
Phone: (936) 632-4282
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TEXAS INSTITUTE FOR KIDNEY AND ENDOCRINE DISORDERS, PA is an endocrinology and diabetes and metabolism internal medicine in Lufkin, TX. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. TEXAS INSTITUTE FOR KIDNEY AND ENDOCRINE DISORDERS, PA NPI is 1295915338. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 MEDICAL CENTER BLVD STE A
LUFKIN, TX
ZIP 75904-163
Phone: (936) 632-4282
Fax: (936) 632-4249

The provider's authorized official is Lance A Sloan .
The authorized official title is President and has the following contact phone number (936) 632-4282.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 10/19/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyH0822TEXASNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismH0822TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201207201MEDICAIDTEXAS
20103RMOTHERTEXASBLUE CROSS BLUE SHIELD
3OA3535MEDICARE PINTEXAS
4DO7758OTHERTEXASRAILROAD MEDICARE
5201207202MEDICAIDTEXAS

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: 11/14/2023

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