East Texas Medical Specialties

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

K4263 Issued in TX

Legal business name

EAST TEXAS MEDICAL SPECIALTIES

Practice address

3226 N University Dr Ste 200
Nacogdoches, TX 75965-2698

Phone

(936) 564-2710

Fax

(936) 564-2791

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Adams

Title

Office MGR

Phone

(936) 564-2710

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Foundation Surgery Affiliate of Nacogdoches LLC

  • Ambulatory Surgical Clinic/Center
  • Nacogdoches, TX
  • NPI 1649252883

  Member Of

  NPD member

Locations

Practitioners 4

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

• Josephine Deza Chua, M.D.

  • Nephrology Physician
  • Nacogdoches, TX
  • NPI 1528046927
  Medicare reassignment NPD
• Eduardo Sy Tanhui, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Nacogdoches, TX
  • NPI 1285612689
  Medicare reassignment NPD
• Cesar Delaguila, M.D.

  • Cardiovascular Disease Physician
  • Nacogdoches, TX
  • NPI 1225019136
  NPD (past)
• Mark Alford Randel, M.D.

  • Vascular Surgery Physician
  • Nacogdoches, TX
  • NPI 1629103619
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1154432706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 N UNIVERSITY DR STE 200",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652698",
            "telephone_number": "936-564-2710",
            "fax_number": "936-564-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 N UNIVERSITY DR STE 200",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652698",
            "telephone_number": "936-564-2710",
            "fax_number": "936-564-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS MEDICAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "936-564-2710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K9503",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K4263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142409501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Texas Cardiovascular Labs LLC
• 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 Physicians Care PA
• East Texas Psychological Services
• East Texas Urocenter
• East Texas Women'S Touch Obstetrics & Gynecology PLLC
• Terri E Eastepp, LPC

• Interventional Pain Medicine Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.