COMPLETE HEALTHCARE SERVICES PA - NPI 1043307986

Q: What is Deep East Texas Maternal & Family Health PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Complete Healthcare Services Pa NPPES

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

COMPLETE HEALTHCARE SERVICES PA (NPI 1043307986) is a healthcare organization registered as a family medicine in Jasper, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Martin E. Gilliland, President, as its authorized official.

NPPES Registry Identity

NPI1043307986

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDEEP EAST TEXAS MATERNAL & FAMILY HEALTH PA

Location Address315 W HOUSTON STJasper, TX 75951-4013

Mailing Address315 W Houston StJasper, TX 75951-4013 · (409) 384-3430 · Fax (409) 383-0571

Phone(409) 384-3430

Fax(409) 383-0571

Organization SubpartNo

Authorized OfficialMartin E. GillilandPresident · (409) 384-3430

Enumeration DateOctober 10, 2006

Last NPPES UpdateJune 12, 20242 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1043307986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

315 W HOUSTON ST, Jasper, TX 75951

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Other Names 1

Doing Business AsComplete Healthcare Services Pa

Other Identifiers 2

Medicaid127285807TX

Other00R88WTX · Blue Cross/blue Shield

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0906409

Complete Healthcare Services, PA · Jasper, TX

Active · expires Oct 1, 2027

CLIA Number45D0906409

Laboratory TypePhysician Office

Certificate Effective DateOctober 2, 2025

Certificate Expiration DateOctober 1, 2027

Laboratory DirectorMartin E. Gilliland

Laboratory Phone(409) 384-3430

Laboratory LocationComplete Healthcare Services, PA315 West Houston Street, Jasper, TX 75951

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

VICKY ST JOHN APRN

Nurse Practitioner (Family)