East Texas Chest Clinic, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G4729 Issued in TX

Legal business name

EAST TEXAS CHEST CLINIC, P.A.

Practice address

818 W Frank Ave
Lufkin, TX 75904-3317

Phone

(936) 639-6210

Fax

(936) 639-2298

NPI assigned

Apr 4, 2007

Last updated

Oct 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susie L. Clark

Title

,Office Manager

Phone

(936) 639-6210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1265554000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043317",
            "telephone_number": "936-639-6210",
            "fax_number": "936-639-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043317",
            "telephone_number": "936-639-6210",
            "fax_number": "936-639-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS CHEST CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": ",OFFICE MANAGER",
        "authorized_official_telephone_number": "936-639-6210"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G4729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gingera Earley
• Darrell Douglas Earnest
• Ease Prosthetics
• Kaela Easley, LPC-A
• East Texas Cancer Alliance of Hope
• East Texas Eye Associates
• East Texas Eye Associates (East Texas Eye Associates Surgery Center)
• East Texas Eye Associates (East Texas Eye Associates Optical Shop)
• East Texas Foot Associates
• East Texas Heart & Vascular Imaging LTD

• Internal Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.