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MEMORIAL MEDICAL CENTER OF EAST TEXAS NPI 1538114442


NPI Information

NPI: 1538114442
Provider Name: MEMORIAL MEDICAL CENTER OF EAST TEXAS

Other Name: EKG GROUP

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1201 W FRANK AVE
LUFKIN, TX
ZIP 75904
Phone: (936) 631-3474
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MEMORIAL MEDICAL CENTER OF EAST TEXAS is a specialist in Lufkin, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MEMORIAL MEDICAL CENTER OF EAST TEXAS NPI is 1538114442. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ekg Group.

The provider's business location address is:

1201 W FRANK AVE
LUFKIN, TX
ZIP 75904-357
Phone: (936) 631-3474
Fax: (936) 631-3475

The provider's authorized official is Fonda R Sullivan .
The authorized official title is Insurance Supervisor and has the following contact phone number (936) 631-3474.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 8/22/2020.


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
1174400000XSpecialistG4097TEXASNo
2174400000XSpecialistH9325TEXASNo
3174400000XSpecialistL9581TEXASNo
4174400000XSpecialistH4425TEXASNo
5174400000XSpecialistJ0855TEXASNo
6174400000XSpecialistE8818TEXASNo
7174400000XSpecialistF8981TEXASNo
8174400000XSpecialistE1447TEXASNo
9174400000XSpecialistH0057TEXASNo
10174400000XSpecialistF8398TEXASYes

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
100N10TOTHERTEXASBLUE CROSS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.