| East Texas Internal Medicine Pa | |
|
515 Gaslight Blvd Lufkin TX 75904-3127 | |
| (936) 634-3995 | |
| Not Available |
| Full Name | East Texas Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 515 Gaslight Blvd, Lufkin, Texas |
| Authorized Official Name and Position | Doris Shipley (OFFICE MANAGER) |
| Authorized Official Contact | 9366343995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Internal Medicine Pa 515 Gaslight Blvd Lufkin TX 75904-3127 Ph: (936) 634-3995 | East Texas Internal Medicine Pa 515 Gaslight Blvd Lufkin TX 75904-3127 Ph: (936) 634-3995 |
| NPI Number | 1700055001 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 08/11/2011 |
| Medicare PECOS PAC ID | 3476620543 |
|---|---|
| Medicare Enrollment ID | O20080916000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700055001 | NPI | - | NPPES |
| 196347201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Texas) | Primary |
| Provider Name | Prasad K Peddu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487656468 PECOS PAC ID: 7618044785 Enrollment ID: I20080916000522 |
Michael Hunt Huber Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave Ste 100, Lufkin, TX 75904 Phone: 936-639-2244 Fax: 936-634-9334 | |
Jerry L Spinks, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-639-2338 Fax: 936-639-2980 | |
Kevin W Farris M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave, Suite 301, Lufkin, TX 75904 Phone: 936-632-7606 Fax: 936-632-1574 | |
In & Out Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3802 S Medford Dr, Lufkin, TX 75901 Phone: 936-634-2231 Fax: 936-634-8012 | |
Lufkin Lifestyle And Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 N 1st St, Lufkin, TX 75901 Phone: 369-632-2802 Fax: 369-286-3005 | |
Andrew J. Fercowicz, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-1005 Fax: 936-639-1006 | |
Varughese Puthenparampil Samuel Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Ellis Ave, Lufkin, TX 75904 Phone: 936-637-2888 Fax: 936-634-2321 |