| Nacogdoches Health Partners, Pllc | |
|
4800 Ne Stallings Dr Ste 109 Nacogdoches TX 75965-1250 | |
| (936) 559-0700 | |
| (936) 559-0500 |
| Full Name | Nacogdoches Health Partners, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4800 Ne Stallings Dr, Nacogdoches, Texas |
| Authorized Official Name and Position | Wilburn Edward Furniss (MANAGER) |
| Authorized Official Contact | 9365590700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nacogdoches Health Partners, Pllc 4800 Ne Stallings Dr Ste 109 Nacogdoches TX 75965-1250 Ph: (936) 559-0700 | Nacogdoches Health Partners, Pllc 4800 Ne Stallings Dr Ste 109 Nacogdoches TX 75965-1250 Ph: (936) 559-0700 |
| NPI Number | 1528518974 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 3274813373 |
|---|---|
| Medicare Enrollment ID | O20161207000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528518974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N2078 (Texas) | Primary |
| Provider Name | Wilburn E Furniss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932398377 PECOS PAC ID: 4587704218 Enrollment ID: I20091210000546 |
| Provider Name | Lindsay Aldrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598102493 PECOS PAC ID: 5698906550 Enrollment ID: I20161215002128 |
| Provider Name | Deidra Dianne Partin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366927626 PECOS PAC ID: 3375897515 Enrollment ID: I20181107000678 |
| Provider Name | Suzanna I Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326504382 PECOS PAC ID: 3274874821 Enrollment ID: I20190408002153 |
| Provider Name | Misty R Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124678156 PECOS PAC ID: 6406280270 Enrollment ID: I20200103000070 |
| Provider Name | Jesse Bryan Creel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508498502 PECOS PAC ID: 1850729542 Enrollment ID: I20200311001446 |
| Provider Name | Morgan Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700561289 PECOS PAC ID: 8729448022 Enrollment ID: I20230718003780 |
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