East Texas Clinic

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03991 Issued in TX

Legal business name

EAST TEXAS CLINIC

Practice address

101 Willis Ave
Naples, TX 75568

Phone

(903) 897-5684

Fax

(903) 897-5339

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

James Patrick Griffin, MDNPI 1225014707

Title

Family Practice

Phone

(903) 897-5684

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 2

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

• James Patrick Griffin, M.D.

  • Family Medicine Physician
  • Naples, TX
  • NPI 1225014707
  NPD Authorized official
• Janet C Knight, PAC

  • Medical Physician Assistant
  • Naples, TX
  • NPI 1881850931
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801958665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "NAPLES",
            "state": "TX",
            "postal_code": "75568",
            "telephone_number": "903-897-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIS AVE",
            "city": "NAPLES",
            "state": "TX",
            "postal_code": "75568",
            "telephone_number": "903-897-5684",
            "fax_number": "903-897-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "903-897-5684",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etca-Naples, Inc.
• James Patrick Griffin, M.D.
• Latasha Henderson, RN
• Janet C Knight, PAC
• Linda Kay Osmon

• All providers in Naples, TX
• Physician Assistant 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.
• 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.