Titus County Hospital District
Organization Active NPI Medical Specialty Clinic/Center · Mount Pleasant, TX
NPI 1699327148 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1699327148
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- TITUS COUNTY HOSPITAL DISTRICT
- Practice address
- 2001 N Jefferson Ave Ste 204B
Mount Pleasant, TX 75455-2310 - Phone
- (903) 577-6606
- Fax
- (903) 434-7135
- NPI assigned
- Jul 15, 2019
- Organization subpart
- No
Authorized official
- Name
- Patty Boeckmann
- Title
- Ceo
- Phone
- (903) 577-6059
Other NPIs on the same Medicare enrollment 14
Corporate family (same tax ID) 19
Practitioners 11
-
Billy Glenn Beckham, CRNA
-
Williams Bradley Burrows, D.O.
-
Yesenia Canciobello, CRNA
-
Hussain Haideri, M.D.
-
David A Hester, M.D.
-
Justin Brandt Olinde, M.D.
-
Michael A Pappas, M.D.
-
Vivek Punjabi, MD
-
Stephen L Sigal, M.D.
-
Adel Abdalla, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120525000534 | TX | Part B Supplier - Clinic/Group Practice | 0143203257 |
Receives reassigned benefits from 133 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mount Pleasant, TX; Texarkana, TX; Mt Pleasant, TX; Mount Vernon, TX; Daingerfield, TX; Bogata, TX |
National Provider Directory
- Tax ID family
- Titus Cty Hosp District
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
2001 N Jefferson Ave Ste 204B
Mount Pleasant, TX 75455-2310
Mailing address
PO Box 511
Mount Pleasant, TX 75456-0511
Phone (903) 577-6066
Other names
- CENTER FOR PAIN MANAGEMENT AT TITUS
Other providers in Mount Pleasant, TX
- Titus County Hospital District
- Titus County Hospital District
- Titus County Hospital District
- Titus County Hospital District
- Titus County Hospital District
- Titus County Hospital District
- Titus County Hospital District
- Titus County Hospital District
- Titus County Hospital District
- Titus County Hospital District
All providers in Mount Pleasant, TX · Medical Specialty Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.