| Nacogdoches Medical Clinic Pllc | |
|
607 Russell Blvd A Nacogdoches TX 75965-1247 | |
| (936) 560-2920 | |
| (866) 861-6312 |
| Full Name | Nacogdoches Medical Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 607 Russell Blvd, Nacogdoches, Texas |
| Authorized Official Name and Position | Kavita S Vyas (OWNER) |
| Authorized Official Contact | 9365602920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nacogdoches Medical Clinic Pllc 607 Russell Blvd A Nacogdoches TX 75965-1247 Ph: (936) 560-2920 | Nacogdoches Medical Clinic Pllc 607 Russell Blvd A Nacogdoches TX 75965-1247 Ph: (936) 560-2920 |
| NPI Number | 1841248630 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 01/29/2020 |
| Medicare PECOS PAC ID | 5890770580 |
|---|---|
| Medicare Enrollment ID | O20040618000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841248630 | NPI | - | NPPES |
| 079792001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kavita S Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346246964 PECOS PAC ID: 4284646027 Enrollment ID: I20060619000281 |
| Provider Name | Brinson Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922410828 PECOS PAC ID: 0345545950 Enrollment ID: I20160219000223 |
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 |