Organization Active NPI

East Texas Precision Medicine, PLLC

  • Adult Health Nurse Practitioner
  • Marshall, TX
National Provider Identifier
1134538895
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP126149 Issued in TX
Legal business name
EAST TEXAS PRECISION MEDICINE, PLLC
Practice address
1600 S Washington Ave
Marshall, TX 75670-6852
Phone
(903) 320-3200
Fax
(903) 471-8655
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Galynn L James
Title
Am
Phone
(903) 576-2355

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X AP126149 TX Primary
Gerontology Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SG0600X AP126149 TX

Addresses

Primary practice location

1600 S Washington Ave
Marshall, TX 75670-6852

Mailing address

PO Box 45
Marshall, TX 75671-0045
Phone (903) 320-3200

Other practice location 1

103 W Loop 281 Ste 472
Longview, TX 75605-4615
Phone (903) 212-7550

Other names 1

  • WAS HOLDINGS, PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141106000973 TX Part B Supplier - Clinic/Group Practice 1658593637 Receives reassigned benefits from 5 practitioners
Practice locations: Longview, TX; Jefferson, TX; Marshall, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2167083East Texas Precision Medicine1600 South Washington Ave, Marshall, TX 75670Provider-performed microscopyMay 30, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1134538895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756710045",
            "telephone_number": "903-320-3200",
            "fax_number": "903-471-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S WASHINGTON AVE",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756706852",
            "telephone_number": "903-320-3200",
            "fax_number": "903-471-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 W Loop 281 Ste 472",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756054615",
            "country_code": "US",
            "telephone_number": "903-212-7550",
            "fax_number": "903-212-7557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST TEXAS PRECISION MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "GALYNN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AM",
        "authorized_official_telephone_number": "903-576-2355"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP126149",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP126149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAS HOLDINGS, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "WAS HOLDINGS, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.