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

Q: 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.

Q: 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.

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: November 01, 2026.

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Texas Treatment Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to East Texas Treatment Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Mcgee, MD

Nephrology

NPI 1770562183

705 E MARSHALL AVE SUITE 3001
Longview, TX 75601

(903) 758-0295

✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is East Texas Treatment Center enrolled in Medicare?

Yes. East Texas Treatment Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Texas Treatment Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to East Texas Treatment Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does East Texas Treatment Center accept?

Health plans from Cigna Healthcare list East Texas Treatment Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.