EAST TEXAS PRECISION MEDICINE, PLLC
NPI 1134538895
Nurse Practitioner - Adult Health in Marshall, TX
NPI Status: Active since August 07, 2014
Contact Information
1600 S WASHINGTON AVE
MARSHALL, TX
ZIP 75670
Phone: (903) 320-3200
Fax: (903) 471-8655
- Organization
- Nurse Practitioner
- Adult Health
- CLIA Number: 45D2167083
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 05-30-2027
About EAST TEXAS PRECISION MEDICINE, PLLC
This page provides the complete NPI Profile along with additional information for East Texas Precision Medicine, Pllc, a provider established in Marshall, Texas operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1134538895 assigned on August 2014. The practitioner's primary taxonomy code is 363LA2200X with license number AP126149 (TX). The provider is registered as an organization and their NPI record was last updated one year ago. East Texas Precision Medicine, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1134538895
- Provider Legal Name
- EAST TEXAS PRECISION MEDICINE, PLLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1600 S WASHINGTON AVE MARSHALL, TX 75670
- Location Phone
- (903) 320-3200
- Location Fax
- (903) 471-8655
- Mailing Address
- PO BOX 45 MARSHALL, TX 75671
- Mailing Phone
- (903) 320-3200
- Mailing Fax
- (903) 471-8655
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-07-2014
- Last Update Date
- 07-09-2025
- Code Navigator
A nurse practitioner (NP) like East Texas Precision Medicine, Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 103 W Loop 281 Ste 472
Longview, TX 75605
(903) 212-7550
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP126149
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 364SG0600X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | AP126149 (TX) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2167083
- Facility Type
- Practitioner Other
- Certificate Effective Date
- May 31, 2025
- Certificate Expiration Date
- May 30, 2027
- Laboratory Director
- WENDY STARNES
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to East Texas Precision Medicine, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134538895, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134538895, enumerated as an "organization" on August 07, 2014.
The provider is located at 1600 S WASHINGTON AVE MARSHALL, TX 75670 and the phone number is (903) 320-3200.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
