NPIMap

Organization Active NPI

East Texas Medical Center Trinity

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Trinity, TX
National Provider Identifier
1477812550
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
K2059 Issued in TX
Legal business name
EAST TEXAS MEDICAL CENTER TRINITY
Practice address
317 Prospect Dr
Trinity, TX 75862-6202
Phone
(936) 744-1100
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Mrs. Dana C Lamb
Title
Business Office Director
Phone
(936) 546-3810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X K2059 TX Primary

Addresses

Primary practice location

317 Prospect Dr
Trinity, TX 75862-6202

Mailing address

317 Prospect Dr
Trinity, TX 75862-6202
Phone (936) 744-1100

National Provider Directory

National Provider Directory
Tax ID family
East Texas Medical Center Trinity6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1477812550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 PROSPECT DR",
            "city": "TRINITY",
            "state": "TX",
            "postal_code": "758626202",
            "telephone_number": "936-744-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 PROSPECT DR",
            "city": "TRINITY",
            "state": "TX",
            "postal_code": "758626202",
            "telephone_number": "936-744-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS MEDICAL CENTER TRINITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "936-546-3810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "K2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.