Dmctx2, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DMCTX2, PLLC

Practice address

410 Gaslight Blvd
Lufkin, TX 75904-3123

Phone

(936) 635-1127

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Della Victoria Bumstead

Title

Administrator

Phone

(409) 429-8457

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Michelle Evett, NP-C

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1073981460
  Medicare reassignment Care Compare group NPD
• Patrick Neill Gammill

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1578062246
  Medicare reassignment Care Compare group NPD
• Josephine Angela Hess, FNP-C

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1962046383
  Medicare reassignment Care Compare group NPD
• Merla Sierra, FNP

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1285457242
  Medicare reassignment Care Compare group NPD
• Joseph Alan Koch, MD

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1386970523
  Medicare reassignment NPD
• Jodee Naples, APRN, FNP-C

  • Family Nurse Practitioner
  • San Augustine, TX
  • NPI 1194219824
  Medicare reassignment NPD
• Heather Danielle Redd, FNP-C

  • Family Nurse Practitioner
  • Livingston, TX
  • NPI 1881391225
  Medicare reassignment NPD

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1447711007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043123",
            "telephone_number": "936-630-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043123",
            "telephone_number": "936-635-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMCTX2, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "BUMSTEAD",
        "authorized_official_first_name": "DELLA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-429-8457"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kay Dickinson, MSN, NP-C
• Katherine Blythe Diggs, NP-C
• Earl Dimaandal, PT,DPT
• Distinct Focus on Life, L.P.
• Distinct Focus on Life, L.P.
• Jennifer Nguyen Doan, O.D.
• Robert H Doan Jr., FNP
• Doctx1 PLLC
• Edward Domingue, M.D.
• Dina Dominquez

• Multi-Specialty Clinic/Center in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.