Family Network of East Texas

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

27886 Issued in TX

Legal business name

FAMILY NETWORK OF EAST TEXAS

Practice address

2912 E Main St
Nacogdoches, TX 75961-5468

Phone

(936) 560-6397

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Thresa Annette Caldwell, LBSW-IPR

Title

Owner

Phone

(936) 560-4365

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thresa A. Caldwell Doing business as

Tax ID family

Family Network of East Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thresa a. Caldwell Dba Family Network of East Texas

  • Case Management Agency
  • Nacogdoches, TX
  • NPI 1316001266
  NPD tax ID

Locations

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1720385404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 E MAIN ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615468",
            "telephone_number": "936-560-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 E MAIN ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615468",
            "telephone_number": "936-560-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NETWORK OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "THRESA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-560-4365",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LBSW-IPR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "27886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180671302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thresa A. Caldwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chance Andrew Evans
• Lasarah Evans, BSN RN
• Jennifer J. Ewing, MA, LPC, NCC
• Adeola Falana, RPH
• Douglas Earl Falke, D.C.
• Olin Kirk Fearing, M.D.
• Brandi Michelle Ferguson, RN, FNP
• Blaise Edward Ferraraccio, MD
• Alisha Ferrell
• Edwin L. Ferren

• Case Management Agency in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.