Active NPI
East Texas Physicians Care PA
- Family Medicine Physician
- Nacogdoches, TX
National Provider Identifier
1093773707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EAST TEXAS PHYSICIANS CARE PA
- Practice address
- 1002 Mound St
Nacogdoches, TX 75961-4437 - Phone
- (936) 560-3800
- Fax
- (936) 560-0102
- NPI assigned
- May 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George R Hugman III, M.D.
- Title
- President
- Phone
- (936) 560-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1002 Mound St
Nacogdoches, TX 75961-4437
Mailing address
1002 Mound St
Nacogdoches, TX 75961-4437
Phone (936) 560-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0840894-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1002 N Mound St
Nacogdoches, TX 75961
Phone (936) 560-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194307200000",
"number": "1093773707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 MOUND ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614437",
"telephone_number": "936-560-3800",
"fax_number": "936-560-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 MOUND ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614437",
"telephone_number": "936-560-3800",
"fax_number": "936-560-0102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST TEXAS PHYSICIANS CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2007-11-06",
"status": "A",
"authorized_official_last_name": "HUGMAN",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "936-560-3800",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0840894-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
- East Texas Cardiovascular Labs, LLC
- East Texas Center for Metabolic Wellness LLC
- East Texas Community Health Services, Inc
- East Texas Community Health Services, Inc.
- East Texas Medical Specialties
- East Texas Psychological Services
- East Texas Urocenter
- East Texas Women'S Touch Obstetrics & Gynecology PLLC
- Terri E Eastepp, LPC
- Whitney Echart, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.