Nacogdoches Cardiac Imaging Center PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

R51043 Issued in TX

Legal business name

NACOGDOCHES CARDIAC IMAGING CENTER PLLC

Practice address

1023 N Mound St
Suite L
Nacogdoches, TX 75961-4491

Phone

(936) 564-2637

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Vijaya R Pokala, M.D., F.a.C.C., M.D., F.A.C.C.

Title

President

Phone

(936) 564-2637

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1386765485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 N MOUND ST",
            "address_2": "SUITE L",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614491",
            "telephone_number": "936-564-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 N MOUND ST",
            "address_2": "SUITE L",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614491",
            "telephone_number": "936-564-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES CARDIAC IMAGING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "POKALA, M.D., F.A.C.C.",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-564-2637",
        "authorized_official_credential": "M.D., F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "R51043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mymd Select
• Jordyn Myska
• N Med
• Nachoniche Properties, LLC (Oak Manor Nursing Home)
• Nacogdoches Cardiac Center, P.a.
• Nacogdoches Cardiovascular Associates PA
• Nacogdoches Counseling Services, PLLC
• Nacogdoches County Aging Committee, Inc.
• Nacogdoches County Hospital District (Nacogdoches Memorial Professional Group)
• Nacogdoches County Hospital District

• Clinic/Center in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.