Melita Lang Brooks, MD
Individual provider Active NPI Family Medicine Physician · Lindale, TX
NPI 1366430332 · NPPES record last updated Oct 10, 2014
Key facts
- NPI
- 1366430332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- J1501 (TX)
- Practice address
- 3202 S Main St
Lindale, TX 75771-7727 - Phone
- (903) 882-0991
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Trinity Clinic Texas
Practice addresses (Care Compare)
1302 N Pacific St
Christus Trinity Clinic
Mineola, TX 75773-1022
Phone (903) 569-5383
18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841
20208 State Hwy 155 S
Christus Trinity Clinic
Flint, TX 75762-5600
Phone (903) 825-6222
3201 S Loop
Palestine, TX 75801-6901
3203 S Main St
Christus Trinity Clinic
Lindale, TX 75771-7727
Phone (903) 266-4000
5321 S FM
14 Christus Trinity Clinic
Holly Lake Ranch, TX 75765-4839
Phone (903) 769-2990
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Homecare
- Choice Homecare
- Enhabit Home Health
- Christus Mother Frances Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050816001206 | TX | Practitioner - Family Practice | 9032149349 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1501 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trincare Inc | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current |
Accepting new patients |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current |
Accepting new patients | |
| Trinity Clinic | Family Medicine | Past | Accepting new patients |
Locations
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3202 S Main St
Lindale, TX 75771
Phone (903) 882-0991
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
14069 FM 849
Lindale, TX 75771
Phone (903) 590-5263
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
3802 Manhatton Dr
Tyler, TX 75701
Phone (903) 509-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- mbrooks5106@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J1501 | TX | Yes |
Addresses
Primary practice location
3202 S Main St
Lindale, TX 75771-7727
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117314 | Other | TX | CHIPS |
| 752616977028 | Other | TX | TRICARE |
| 103402703 | Medicaid | TX | |
| 138737515 | Other | TX | EPSDT |
| 8S1460 | Other | TX | BCBS OF TEXAS |
Other names
- Melita Lang
Other providers in Lindale, TX
- Karen Bowery
- Megan Elaine Bray
- Sarah K Brezina
- Raymond J Broadbent
- Bronze Star Home Health Care LLC
- Brookshire Grocery Company
- Camden Kae Brown
- Bonnie Rose Bury-Blattman
- Latoya N Bush
- Kimberly Elaine Butler
All providers in Lindale, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.