NPIMap

Organization Active NPI

East Texas Physcian'S Alliance

  • Family Medicine Physician
  • Palestine, TX
National Provider Identifier
1881749901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9838 Issued in TX
Legal business name
EAST TEXAS PHYSCIAN'S ALLIANCE
Practice address
112 E Oak St
Palestine, TX 75801-2800
Phone
(903) 731-4700
Fax
(903) 731-4699
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alec Law
Title
Managing Partner
Phone
(903) 723-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X L9838 TX Primary

Addresses

Primary practice location

112 E Oak St
Palestine, TX 75801-2800

Mailing address

PO Box 4550
Palestine, TX 75802-4550
Phone (903) 731-4700

National Provider Directory

National Provider Directory
Tax ID family
East Texas Physician'S Alliance LLP4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

112 E Oak St
Palestine, TX 75801
Phone (903) 731-4555

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881749901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4550",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758024550",
            "telephone_number": "903-731-4700",
            "fax_number": "903-731-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E OAK ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758012800",
            "telephone_number": "903-731-4700",
            "fax_number": "903-731-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS PHYSCIAN'S ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "ALEC",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "903-723-8800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

  • 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.