Active NPI
Lufkin Emergency Physicians, PA
- Emergency Medicine Physician
- Lufkin, TX
National Provider Identifier
1881990018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- K9825
- Legal business name
- LUFKIN EMERGENCY PHYSICIANS, PA
- Practice address
- 505 S John Redditt Dr
Lufkin, TX 75904-3120 - Phone
- (936) 634-8311
- Fax
- (936) 637-8600
- NPI assigned
- Feb 5, 2011
- Last updated
- Jul 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jin Kim, MD
- Title
- Owner
- Phone
- (281) 412-2494
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | K9825 | TX | Primary |
Addresses
Primary practice location
505 S John Redditt Dr
Lufkin, TX 75904-3120
Mailing address
PO Box 4897
Houston, TX 77210-4897
Phone (281) 412-2494
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343347200000",
"number": "1881990018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4897",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104897",
"telephone_number": "281-412-2494",
"fax_number": "281-412-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S JOHN REDDITT DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043120",
"telephone_number": "936-634-8311",
"fax_number": "936-637-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUFKIN EMERGENCY PHYSICIANS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-05",
"last_updated": "2012-07-27",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-412-2494",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "K9825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.