NPIMap

Organization Active NPI

Etx Medical Group, PLLC

Doing business as EastEx Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
National Provider Identifier
1629669684
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ETX MEDICAL GROUP, PLLC
Doing business as
EastEx Urgent Care
Practice address
4310 Dowlen Rd Ste 16
Beaumont, TX 77706-6861
Phone
(409) 299-4448
Fax
(409) 299-4407
NPI assigned
Feb 1, 2021
Last updated
Feb 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
William Burkes, MDNPI 1609879378
Title
Owner
Phone
(409) 299-4448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4310 Dowlen Rd Ste 16
Beaumont, TX 77706-6861

Mailing address

4310 Dowlen Rd Ste 16
Beaumont, TX 77706-6861
Phone (409) 299-4448

Other names 1

  • EastEx Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210315000437 TX Part B Supplier - Clinic/Group Practice 8729494927 Receives reassigned benefits from 19 practitioners
Practice locations: Beaumont, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2206847Etx Medical Group, PLLC Dba Eastex Urgent Care4310 Dowlen Road, Suite # 16, Beaumont, TX 77706Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

Locations

4310 Dowlen Rd
Beaumont, TX 77706

4310 Dowlen Rd
Ste 16
Beaumont, TX 77706
Phone (409) 299-4448

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1629669684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 DOWLEN RD STE 16",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066861",
            "telephone_number": "409-299-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 DOWLEN RD STE 16",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066861",
            "telephone_number": "409-299-4448",
            "fax_number": "409-299-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETX MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "BURKES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-299-4448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EastEx Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.