Organization Active NPI

Deep East Texas Development Council

  • Case Management Agency
  • Jasper, TX
National Provider Identifier
1053667436
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DEEP EAST TEXAS DEVELOPMENT COUNCIL
Practice address
210 Premier Dr
Jasper, TX 75951-7495
Phone
(409) 384-5704
Fax
(409) 384-5390
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Walter G Diggles Sr.
Title
Executive Director
Phone
(409) 384-5704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

210 Premier Dr
Jasper, TX 75951-7495

Mailing address

210 Premier Dr
Jasper, TX 75951-7495
Phone (409) 384-5704

National Provider Directory

National Provider Directory

Locations

210 Premier Dr
Jasper, TX 75951
Phone (409) 384-5704

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1053667436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PREMIER DR",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759517495",
            "telephone_number": "409-384-5704",
            "fax_number": "409-384-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PREMIER DR",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759517495",
            "telephone_number": "409-384-5704",
            "fax_number": "409-384-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP EAST TEXAS DEVELOPMENT COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "DIGGLES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "409-384-5704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.