Organization Active NPI

East Texas Physicians Care PA

  • Family Medicine Physician
  • Nacogdoches, TX
National Provider Identifier
1093773707
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Nov 6, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0840894-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.