NACOGDOCHES SURGICAL CENTER LTD
NPI 1003835265
Clinic/Center - Ambulatory Surgical in Nacogdoches, TX

Active since July 19, 2006
1303 N MOUND ST, NACOGDOCHES, TX 75961(936) 560-1844(936) 564-5145 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nacogdoches Surgical Center Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NACOGDOCHES SURGICAL CENTER LTD (NPI 1003835265) is a healthcare organization registered as an ambulatory surgical in Nacogdoches, Texas and active in the NPI registry since July 2006. The organization lists Prabhakar R Guniganti, Owner, as its authorized official.

NPPES Registry Identity

NPI1003835265
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEAST TEXAS CARDIOVASCULAR LABS LLC
Location Address1303 N MOUND STNacogdoches, TX 75961-4030
Mailing Address1303 N Mound StNacogdoches, TX 75961-4030 · (936) 560-1844 · Fax (936) 564-5145
Fax(936) 564-5145
Organization SubpartNo
Authorized OfficialPrabhakar R GunigantiOwner · (936) 560-1844
Enumeration DateJuly 19, 2006
Last NPPES UpdateOctober 31, 2007
NPI 1003835265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in TX · 008031
1303 N MOUND ST, Nacogdoches, TX 75961

Other Names 1

Doing Business AsNacogdoches Surgical Center Ltd

Other Identifiers 4

Medicare ID-Type UnspecifiedP00194639TX · Railroad Medicare Provide
Medicaid171256401TX
OtherHH058ATX · Blue Cross Provider #
Medicare PINASC228TX

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
1303 N MOUND ST
NACOGDOCHES, TX 75961
Clinic/Center (Primary Care)
1303 N MOUND ST
NACOGDOCHES, TX 75961
Clinical Medical Laboratory
1303 N MOUND ST
NACOGDOCHES, TX 75961
Clinic/Center (Radiology)
1303 N MOUND ST
NACOGDOCHES, TX 75961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Texas Cardiovascular Labs LLC's NPI number?

The NPI number for East Texas Cardiovascular Labs LLC is 1003835265. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Nacogdoches Surgical Center Ltd.

Where is East Texas Cardiovascular Labs LLC located?

East Texas Cardiovascular Labs LLC is located at 1303 N Mound St, Nacogdoches, TX 75961. The listed phone number is (936) 560-1844.

What is East Texas Cardiovascular Labs LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for East Texas Cardiovascular Labs LLC was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.