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EAST TEXAS HEART & VASCULAR IMAGING LTD NPI 1407964539


NPI Information

NPI: 1407964539
Provider Name: EAST TEXAS HEART & VASCULAR IMAGING LTD
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
310 GASLIGHT BLVD
LUFKIN, TX
ZIP 75904
Phone: (936) 632-8787
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EAST TEXAS HEART & VASCULAR IMAGING LTD is a clinic center in Lufkin, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EAST TEXAS HEART & VASCULAR IMAGING LTD NPI is 1407964539. The provider is registered as an organization entity type.

The provider's business location address is:

310 GASLIGHT BLVD
LUFKIN, TX
ZIP 75904-133
Phone: (936) 632-8787
Fax: (936) 632-8832

The provider's authorized official is Ravinder R Bachireddy .
The authorized official title is President and has the following contact phone number (936) 632-8787.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 8/14/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological LaboratoryNo
2261Q00000XClinic/CenterYes

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
1HH1819OTHERTEXASBLUECROSS BLUESHIELD OF TEXAS
2048374502MEDICAIDTEXAS
3FTA118MEDICARE PINTEXAS

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: 4/28/2024

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