Active NPI
Med Travelers
- Skilled Nursing Facility
- Lufkin, TX
National Provider Identifier
1497007157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 210374
- Legal business name
- MED TRAVELERS
- Practice address
- 415 Montrose St
Lufkin, TX 75901-0439 - Phone
- (936) 933-7719
- NPI assigned
- Oct 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jacqueline Marie Campos, ASSOCIATES OF SCIENC
- Title
- Cota
- Phone
- (936) 933-7719
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 210374 | TX | Primary |
Addresses
Primary practice location
415 Montrose St
Lufkin, TX 75901-0439
Mailing address
415 Montrose St
Lufkin, TX 75901-0439
Phone (936) 933-7719
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349308800000",
"number": "1497007157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MONTROSE ST",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759010439",
"telephone_number": "936-933-7719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 MONTROSE ST",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759010439",
"telephone_number": "936-933-7719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED TRAVELERS",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A",
"authorized_official_last_name": "CAMPOS",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "COTA",
"authorized_official_telephone_number": "936-933-7719",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ASSOCIATES OF SCIENC"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "210374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.