Active NPI
Pulmonary Medicine of Nacogdoches, P.a.
- Pulmonary Disease Physician
- Nacogdoches, TX
National Provider Identifier
1922315696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- F6346
- Legal business name
- PULMONARY MEDICINE OF NACOGDOCHES, P.A.
- Practice address
- 4848 NE Stallings Dr
Ste. 100
Nacogdoches, TX 75965-1239 - Phone
- (936) 205-5960
- NPI assigned
- Sep 1, 2010
- 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. Loyd George Whitley, M.D.
- Title
- Owner
- Phone
- (936) 205-5960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | F6346 | TX | Primary |
Addresses
Primary practice location
4848 NE Stallings Dr
Ste. 100
Nacogdoches, TX 75965-1239
Mailing address
4848 NE Stallings Dr
Ste. 100
Nacogdoches, TX 75965-1239
Phone (936) 205-5960
National Provider Directory
National Provider DirectoryLocations
4848 NE Stallings Dr
Ste 100
Nacogdoches, TX 75965
Phone (936) 205-5960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311206400000",
"number": "1922315696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4848 NE STALLINGS DR",
"address_2": "STE. 100",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651239",
"telephone_number": "936-205-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4848 NE STALLINGS DR",
"address_2": "STE. 100",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651239",
"telephone_number": "936-205-5960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY MEDICINE OF NACOGDOCHES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-01",
"last_updated": "2011-07-21",
"status": "A",
"authorized_official_last_name": "WHITLEY",
"authorized_official_first_name": "LOYD",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-205-5960",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "F6346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.