Active NPI
Willis, Halter and Associates
Doing business as Diagnostic Associates of Lukfin
- Internal Medicine Physician
- Lufkin, TX
National Provider Identifier
1235159096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0080941103
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083161201 | Medicaid | TX |
Other names 1
- Diagnostic Associates of Lukfin
National Provider Directory
National Provider DirectoryNPI 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.