| Pineywoods Diagnostic Clinic Of East Texas Pa | |
|
400 W Church St Livingston TX 77351-3416 | |
| (936) 327-7733 | |
| (936) 327-2248 |
| Full Name | Pineywoods Diagnostic Clinic Of East Texas Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 W Church St, Livingston, Texas |
| Authorized Official Name and Position | Ravinder R Bachireddy (AUTHORIZED/DELEGATED OFFICIAL) |
| Authorized Official Contact | 9366328787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pineywoods Diagnostic Clinic Of East Texas Pa Po Box 151226 Lufkin TX 75915-1226 Ph: (936) 632-8787 | Pineywoods Diagnostic Clinic Of East Texas Pa 400 W Church St Livingston TX 77351-3416 Ph: (936) 327-7733 |
| NPI Number | 1265519730 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/31/2008 |
| Medicare PECOS PAC ID | 2163472721 |
|---|---|
| Medicare Enrollment ID | O20050201000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265519730 | NPI | - | NPPES |
| 176384901 | Medicaid | TX | |
| 0022MU | Other | TX | BLUECROSS & BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anita Kuruvilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851377477 PECOS PAC ID: 2961453469 Enrollment ID: I20050202000207 |
Livingston Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Bypass Ln, Suite 200, Livingston, TX 77351 Phone: 936-327-3843 Fax: 936-327-7132 | |
Kingwood Gastroenterology Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 W Park Ste 100, Livingston, TX 77351 Phone: 281-501-5652 | |
Raj Associates, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 S Washington Ave, Livingston, TX 77351 Phone: 936-327-9677 Fax: 936-327-5208 | |
Sandra K Hutchison Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Ogletree Dr Ste 105, Livingston, TX 77351 Phone: 936-328-5612 Fax: 936-328-5619 | |
Dr Vien Pham Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1717 Highway 59 Loop N Ste C, Livingston, TX 77351 Phone: 936-327-7147 Fax: 936-328-5255 | |
Dr Jeffrey Luna Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 Eastwood Ave, Livingston, TX 77351 Phone: 936-327-7147 Fax: 936-327-6234 |