East Texas Therapy Centers, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

EAST TEXAS THERAPY CENTERS, LLC

Practice address

4100 S Medford Dr
Ste 100
Lufkin, TX 75901-5622

Phone

(936) 633-6901

Fax

(936) 633-6084

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Laura L Squiers

Title

Vice President

Phone

(936) 633-6901

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841217643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S MEDFORD DR",
            "address_2": "STE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015622",
            "telephone_number": "936-633-6901",
            "fax_number": "936-633-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S MEDFORD DR",
            "address_2": "STE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015622",
            "telephone_number": "936-633-6901",
            "fax_number": "936-633-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS THERAPY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SQUIERS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "936-633-6901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Texas Id Associates PLLC
• East Texas Internal Medicine PA
• East Texas Neuro Rehab
• East Texas Open MRI & Diagnostics L.P.
• East Texas Premier Pediatrics PLLC
• East Texas Women'S Clinic
• Michael Eddins, FNP-C
• Julieta Banda Edmond, MA
• Laura Edmundson, PHARMD
• Educare Community Living Limited Partnership

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) 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.