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EAST TEXAS TREATMENT CENTER
NPI 1023002425
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Kilgore, TX

Active since August 31, 2005
1200 DUDLEY RD, KILGORE, TX 75662(903) 984-5571(903) 984-1913 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2022, Aug 18, 2020, Aug 1, 2017 (3 updates tracked since 2017).

About East Texas Treatment Center NPPES

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

EAST TEXAS TREATMENT CENTER (NPI 1023002425) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Kilgore, Texas and active in the NPI registry since August 2005. The organization lists Terry Hardan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1023002425
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameEAST TEXAS TREATMENT CENTER
Location Address1200 DUDLEY RDKilgore, TX 75662-3306
Mailing Address1200 Dudley RdKilgore, TX 75662-3306 · (903) 984-5571 · Fax (903) 984-1913
Phone(903) 984-5571
Fax(903) 984-1913
Organization SubpartNo
Authorized OfficialTerry HardanExecutive Director · (903) 984-5571
Enumeration DateAugust 31, 2005
Last NPPES UpdateFebruary 17, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
✔ NPI 1023002425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
Also ListedPhysical TherapistTaxonomy 225100000X · License 605680000 (TX)
1200 DUDLEY RD, Kilgore, TX 75662
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Other Identifiers 1

Medicaid121835602TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MRS. CYNTHIA KULAK P.T.
Physical Therapist
1200 DUDLEY RD
KILGORE, TX 75662
Gregg County (903) 984-5571
JESSICA DAVIS OTR, MOT
Occupational Therapist
1200 DUDLEY RD
KILGORE, TX 75662
Gregg County (903) 984-5571
MS. CAROL ANN LAMBERT OTR
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1200 DUDLEY RD
KILGORE, TX 75662
Gregg County (903) 984-5571
MRS. SHIRLEY JANE GOETZE CCC/SLP
Speech-Language Pathologist
1200 DUDLEY RD
KILGORE, TX 75662
Gregg County (903) 984-5571

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 Treatment Center's NPI number?

The NPI number for East Texas Treatment Center is 1023002425. It was assigned to this organization in the NPPES registry on August 31, 2005.

Where is East Texas Treatment Center located?

East Texas Treatment Center is located at 1200 Dudley Rd, Kilgore, TX 75662. The listed phone number is (903) 984-5571.

What is East Texas Treatment Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for East Texas Treatment Center was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.