| East Texas Id Associates Pllc | |
|
505 S John Redditt Dr Lufkin TX 75904-3120 | |
| (248) 312-9183 | |
| Not Available |
| Full Name | East Texas Id Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 S John Redditt Dr, Lufkin, Texas |
| Authorized Official Name and Position | Karanpreet Bains (MD) |
| Authorized Official Contact | 2483129183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Id Associates Pllc 209 Deerfield Dr Lufkin TX 75901-7749 Ph: (248) 312-9183 | East Texas Id Associates Pllc 505 S John Redditt Dr Lufkin TX 75904-3120 Ph: (248) 312-9183 |
| NPI Number | 1881444040 |
|---|---|
| Provider Enumeration Date | 03/22/2024 |
| Last Update Date | 03/22/2024 |
| Medicare PECOS PAC ID | 9739529413 |
|---|---|
| Medicare Enrollment ID | O20240429000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881444040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Karanpreet S Bains |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700020278 PECOS PAC ID: 8820249030 Enrollment ID: I20170530001314 |
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