Organization Active NPI

Etx Metabolic Syndrome Relief PLLC

  • Infusion Therapy Clinic/Center
  • Nacogdoches, TX
National Provider Identifier
1154286755
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
ETX METABOLIC SYNDROME RELIEF PLLC
Practice address
1220 North St Ste 100
Nacogdoches, TX 75961-4010
Phone
(214) 680-6993
NPI assigned
Dec 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Tammy D Smith, CNSNPI 1841675253
Title
Co-Owner
Phone
(936) 707-0921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

1220 North St Ste 100
Nacogdoches, TX 75961-4010

Mailing address

1220 North St Ste 100
Nacogdoches, TX 75961-4010
Phone (214) 680-6993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260121000517 TX Part B Supplier - Clinic/Group Practice 0648757773 Receives reassigned benefits from 1 practitioner
Practice locations: Nacogdoches, TX

National Provider Directory

National Provider Directory

Locations

1220 North St
Ste 100
Nacogdoches, TX 75961
Phone (214) 680-6993

Practitioners & affiliated clinicians

Practitioners 2

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": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1154286755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NORTH ST STE 100",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614010",
            "telephone_number": "214-680-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NORTH ST STE 100",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614010",
            "telephone_number": "214-680-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETX METABOLIC SYNDROME RELIEF PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "936-707-0921",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.