Deep East Texas Maternal and Family Health, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEEP EAST TEXAS MATERNAL AND FAMILY HEALTH, PA

Practice address

Hwy 83 W
Jasper, TX 75951

Phone

(409) 787-4765

Fax

(409) 787-4489

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Martin E Gilliland, MD

Title

President

Phone

(409) 384-3430

Specialties & licenses 1

Addresses

Other names 1

• Complete Healthcare Services Rural Health Hemphill Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hillary Lin

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1023403904

  Family Medicine

  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699863092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W HOUSTON",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "75951",
            "fax_number": "409-383-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 83 W",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "75951",
            "telephone_number": "409-787-4765",
            "fax_number": "409-787-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP EAST TEXAS MATERNAL AND FAMILY HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-384-3430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Healthcare Services Rural Health Hemphill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mackenzie Leigh Cucancic, RN
• D.Scott Hughes Center for Counseling and Rehab
• Dailey & Wilkerson Medical Group
• Deep East Texas Development Council
• Deep East Texas Maternal & Family Health PA
• Dickerson Memorial Hospital, LLC
• Sylvia A Duhon
• East Texas Chiropractic of Jasper, PA
• East Texas Family Healthcare, PLLC
• East Texas Medical Equipment Inc.

• Family Medicine Physician in Jasper, TX
• Providers in Jasper, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.