| East Texas Community Health Services, Inc. | |
|
1401 S University Dr Nacogdoches TX 75961-6488 | |
| (936) 560-5413 | |
| (936) 552-7240 |
| Full Name | East Texas Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 S University Dr, Nacogdoches, Texas |
| Authorized Official Name and Position | Anita K Humphreys (CFO) |
| Authorized Official Contact | 9365605413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Community Health Services, Inc. Po Box 632040 Nacogdoches TX 75963-2040 Ph: (936) 560-5413 | East Texas Community Health Services, Inc. 1401 S University Dr Nacogdoches TX 75961-6488 Ph: (936) 560-5413 |
| NPI Number | 1255367090 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 9830089796 |
|---|---|
| Medicare Enrollment ID | O20040316001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255367090 | NPI | - | NPPES |
| Provider Name | Rodrigo W Sotillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861424319 PECOS PAC ID: 3274516851 Enrollment ID: I20040612000754 |
| Provider Name | Kim M Schaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851445340 PECOS PAC ID: 6800957929 Enrollment ID: I20081209000055 |
| Provider Name | Keli S Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619259579 PECOS PAC ID: 9739346883 Enrollment ID: I20120201000861 |
| Provider Name | Melanie L Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801136700 PECOS PAC ID: 9638315401 Enrollment ID: I20130424000060 |
| Provider Name | Anna H Catron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497803142 PECOS PAC ID: 2163727652 Enrollment ID: I20160222000705 |
| Provider Name | Debra A Utpadel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619210952 PECOS PAC ID: 5395037204 Enrollment ID: I20160714000112 |
| Provider Name | Kay L Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780636613 PECOS PAC ID: 0840219242 Enrollment ID: I20160720000817 |
| Provider Name | Ryan Kortni Arreguin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164934964 PECOS PAC ID: 2567720824 Enrollment ID: I20171215000294 |
| Provider Name | Benjamin Patrick Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730506031 PECOS PAC ID: 3971858960 Enrollment ID: I20180614002567 |
| Provider Name | Emma Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477193779 PECOS PAC ID: 1658790050 Enrollment ID: I20201005001943 |
| Provider Name | Rachael Ann Hacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558883751 PECOS PAC ID: 2264705722 Enrollment ID: I20230112000454 |
| Provider Name | Kendra Joy Vandover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295367795 PECOS PAC ID: 4183000664 Enrollment ID: I20231103003084 |
| Provider Name | Leila Taylor Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396459079 PECOS PAC ID: 6406204049 Enrollment ID: I20231121001005 |
| Provider Name | Thomas G Goodman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508941212 PECOS PAC ID: 6709234701 Enrollment ID: I20231201001494 |
| Provider Name | Brandi Renee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053175646 PECOS PAC ID: 8123468857 Enrollment ID: I20240429002760 |
Itasca Healing Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 King St, Nacogdoches, TX 75961 Phone: 936-622-0552 Fax: 936-622-0554 | |
Strive Clinical Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 Ne Stallings Dr Ste 109, Nacogdoches, TX 75965 Phone: 936-559-0700 | |
Nacogdoches Memorial Professional Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8523 Fax: 936-568-8588 | |
Urgent Health Solutions Nacogdoches Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4909 North St Ste 202, Nacogdoches, TX 75965 Phone: 936-560-9898 | |
Stephen F Austin State University Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 North St, Sfa Sports Medicine Clinic, Nacogdoches, TX 75965 Phone: 936-468-4550 Fax: 936-468-4052 | |
Donald E. Cagle, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Russell Blvd, Nacogdoches, TX 75965 Phone: 936-569-6411 Fax: 936-569-6446 | |
Strive Express Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3205 N University Dr Ste E, Nacogdoches, TX 75965 Phone: 936-585-8000 Fax: 833-983-2949 |