HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS NPI 1578779658

NPI Information

NPI: 1578779658
Provider Name: HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D1016463

Address:
157 WALL ST
TENAHA, TX
ZIP 75974
Phone: (936) 248-4673
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HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS is a family nurse practitioner in Tenaha, TX. HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS NPI is 1578779658. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

157 WALL ST
TENAHA, TX
ZIP 75974-413
Phone: (936) 248-4673
Fax: (936) 248-4646

The provider's authorized official is Jean Y Diebolt .
The authorized official title is Ceo and has the following contact phone number (936) 248-4673.

The CLIA number assigned to this NPI record is 45D1016463 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 6/24/2022.

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
1	363LF0000X	Nurse Practitioner	Family	BNE221153	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	BNE524069	TEXAS	Yes

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
1	8Y1424	OTHER	TEXAS	BCBS ID
2	0081LJ	OTHER	TEXAS	BCBS CLINIC ID

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

NPI Synchronization or Removal

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