Organization Active NPI

Willis, Halter and Associates

Doing business as Diagnostic Associates of Lukfin

  • Internal Medicine Physician
  • Lufkin, TX
National Provider Identifier
1235159096
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0080941103 Issued in TX
Legal business name
WILLIS, HALTER AND ASSOCIATES
Doing business as
Diagnostic Associates of Lukfin
Practice address
402 Gaslight Blvd
Lufkin, TX 75904-3123
Phone
(936) 634-7522
Fax
(936) 639-4549
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Dr. Thomas Lester Willis, M D
Title
President
Phone
(936) 634-7522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0080941103 TX Primary

Addresses

Primary practice location

402 Gaslight Blvd
Lufkin, TX 75904-3123

Mailing address

402 Gaslight Blvd
Lufkin, TX 75904-3123
Phone (936) 634-7522

Other identifiers 1

IdentifierTypeStateIssuer
083161201MedicaidTX

Other names 1

  • Diagnostic Associates of Lukfin Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1235159096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043123",
            "telephone_number": "936-634-7522",
            "fax_number": "936-639-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043123",
            "telephone_number": "936-634-7522",
            "fax_number": "936-639-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS, HALTER AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-634-7522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "0080941103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083161201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Associates of Lukfin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.