Southeast Texas Vascular Access

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHEAST TEXAS VASCULAR ACCESS

Doing business as

Southeast Texas Vascular Access

Practice address

189 Beechwood Dr
Lumberton, TX 77657-7435

Phone

(409) 828-0057

NPI assigned

Feb 20, 2015

Last updated

Feb 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deetra Lee Hammett

Title

RN-BSN

Phone

(409) 828-0057

Specialties & licenses 1

Addresses

Other names 1

• Southeast Texas Vascular Access Doing business as

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1629460118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BEECHWOOD DR",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577435",
            "telephone_number": "409-828-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BEECHWOOD DR",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577435",
            "telephone_number": "409-828-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS VASCULAR ACCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "HAMMETT",
        "authorized_official_first_name": "DEETRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "RN-BSN",
        "authorized_official_telephone_number": "409-828-0057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Texas Vascular Access",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hollie R Sikes, MSN, RN, FNPC
• Gurvinder Singh, PHARMD
• Matthew Smith, PHARM.D.
• Tristine R Smith, LCSW
• Vickie Elaine Smith, MRC, CRC
• Speech and Swallowing Therapy, PLLC
• Michelle Srader, LCSW
• Darian Stephens, DNP, APRN, PMHNP-BC
• Kelsi Strahan
• Sunshine Health

• Durable Medical Equipment & Medical Supplies in Lumberton, TX
• Providers in Lumberton, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.