EAST TEXAS KIDNEY SPECIALISTS
NPI 1184689622
Internal Medicine - Nephrology in Longview, TX

Active since April 18, 2006
3535 N FOURTH ST STE 301, LONGVIEW, TX 75605(903) 234-9992(903) 234-8287 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2021, Sep 17, 2021 (2 updates tracked since 2021).

About East Texas Kidney Specialists NPPES

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

EAST TEXAS KIDNEY SPECIALISTS (NPI 1184689622) is a healthcare organization registered as a nephrology in Longview, Texas and active in the NPI registry since April 2006. The organization lists Tiffany Hagood, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1184689622
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameEAST TEXAS KIDNEY SPECIALISTS,PA
Location Address3535 N FOURTH ST STE 301Longview, TX 75605-0037
Mailing Address3535 N Fourth St Ste 301Longview, TX 75605-0037 · (903) 234-9992 · Fax (903) 234-8287
Fax(903) 234-8287
Organization SubpartNo
Authorized OfficialTiffany HagoodPractice Administrator · (903) 234-9992
Enumeration DateApril 18, 2006
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
NPI 1184689622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3535 N FOURTH ST STE 301, Longview, TX 75605

Other Names 1

Doing Business AsEast Texas Kidney Specialists

Other Identifiers 1

Other0035GNTX · Blue Cross & Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Nephrology)
3535 N FOURTH ST STE 301
LONGVIEW, TX 75605
Internal Medicine (Nephrology)
3535 N FOURTH ST STE 301
LONGVIEW, TX 75605
Internal Medicine (Nephrology)
3535 N FOURTH ST STE 301
LONGVIEW, TX 75605
Internal Medicine (Nephrology)
3535 N FOURTH ST STE 301
LONGVIEW, TX 75605
Internal Medicine (Nephrology)
3535 N FOURTH ST STE 301
LONGVIEW, TX 75605
Internal Medicine (Nephrology)
3535 N FOURTH ST STE 301
LONGVIEW, TX 75605
Nurse Practitioner (Family)
3535 N FOURTH ST STE 301
LONGVIEW, TX 75605

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 Kidney Specialists,pa's NPI number?

The NPI number for East Texas Kidney Specialists,pa is 1184689622. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is doing business as East Texas Kidney Specialists.

Where is East Texas Kidney Specialists,pa located?

East Texas Kidney Specialists,pa is located at 3535 N Fourth St Ste 301, Longview, TX 75605. The listed phone number is (903) 234-9992.

What is East Texas Kidney Specialists,pa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does East Texas Kidney Specialists,pa accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list East Texas Kidney Specialists,pa 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 Kidney Specialists,pa was last updated on October 6, 2021. 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.