Advanced Surgical Associates of East Texas

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

N3408 Issued in TX

Legal business name

ADVANCED SURGICAL ASSOCIATES OF EAST TEXAS

Practice address

617 Russell Blvd
Nacogdoches, TX 75965-1247

Phone

(936) 205-5900

Fax

(936) 205-5909

NPI assigned

Sep 15, 2009

Last updated

Sep 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Dewayne McClain, MD

Title

Ceo

Phone

(608) 443-9420

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1891028395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651247",
            "telephone_number": "936-205-5900",
            "fax_number": "936-205-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651247",
            "telephone_number": "936-205-5900",
            "fax_number": "936-205-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL ASSOCIATES OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-443-9420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N3408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam's Therapy Services PLLC
• Shekofeh Zamane Adell, FNP-C
• Jennifer Proctor Adkins, LPC
• Advanced Chiropractic
• Advanced Chiropractic Center LLC
• Patsy Nicole Agpalza, LCSW
• Isabella A Aguilar
• Ahm Action Home Health, LP (Enhabit Home Health)
• Akesis Spine and Pain Intervention
• Lindsay Aldrich, MD

• Surgery Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.