NPIMap

Organization Active NPI

East Texas Medical Center Healthcare Associates

  • Durable Medical Equipment & Medical Supplies
  • Quitman, TX
National Provider Identifier
1760710263
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
Practice address
108 Parker St Ste 400
Quitman, TX 75783-2103
Phone
(903) 763-6144
Fax
(903) 763-6146
NPI assigned
Nov 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Ms. Kim Pearson-Wahl
Title
Vice President
Phone
(903) 535-6890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

108 Parker St Ste 400
Quitman, TX 75783-2103

Mailing address

PO Box 9477
Tyler, TX 75711-9477
Phone (903) 594-2450

Other names 1

  • FIRST PHYSICIANS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1760710263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9477",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757119477",
            "telephone_number": "903-594-2450",
            "fax_number": "903-939-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PARKER ST STE 400",
            "city": "QUITMAN",
            "state": "TX",
            "postal_code": "757832103",
            "telephone_number": "903-763-6144",
            "fax_number": "903-763-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "PEARSON-WAHL",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "903-535-6890",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quitman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.