Nacogdoches Medical Clinic Pllc

LBN: Nacogdoches Medical Clinic Pllc
Nacogdoches Medical Clinic Pllc is an health care organization with primary practice located at 607 Russell Blvd A, Nacogdoches TX 75965-1247. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Nacogdoches Medical Clinic Pllc can be contacted via phone (936) 560-2920, or through Vyas, Kavita S via phone (936) 560-2920.

Contact Information

Primary practice address
607 Russell Blvd A Nacogdoches TX 75965-1247
Phone: (936) 560-2920
Fax: (866) 861-6312
Website:
Map and Directions
Authorized official contact:
Name: Vyas, Kavita S Doctor of Medicine (MD)
Phone: (936) 560-2920

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1841248630
LBN Legal business name Nacogdoches Medical Clinic Pllc
DBA Doing business as
Authorized official Vyas, Kavita S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Jan 29th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841248630 NPPES
Texas MEDICAID 079792001

Popular Providers