EAST TEXAS FAMILY MEDICINE PA
NPI 1205974417
Family Medicine in Palestine, TX

Active since February 01, 2007CLIA 45D0673541 · Certificate of Compliance
4201 S LOOP 256, PALESTINE, TX 75801(903) 723-8533(903) 723-5190 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Texas Family Medicine Pa NPPES

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

EAST TEXAS FAMILY MEDICINE PA (NPI 1205974417) is a healthcare organization registered as a family medicine in Palestine, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through October 21, 2026 and lists Danny R Allison, Practice Mgr, as its authorized official.

NPPES Registry Identity

NPI1205974417
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST TEXAS FAMILY MEDICINE PA
Location Address4201 S LOOP 256Palestine, TX 75801-8476
Mailing Address4201 S Loop 256Palestine, TX 75801-8476 · (903) 723-8533 · Fax (903) 723-5190
Fax(903) 723-5190
Organization SubpartNo
Authorized OfficialDanny R AllisonPractice Mgr · (903) 723-8533
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMay 20, 2008
NPI 1205974417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4201 S LOOP 256, Palestine, TX 75801

Other Identifiers 3

Medicaid121032002TX
OtherCS1114Railroad Medicare
Medicare ID-Type Unspecified00893NTX

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 Compliance 45D0673541

East Texas Family Medicine PA · Palestine, TX
Active · expires Oct 21, 2026
CLIA Number45D0673541
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorAllen F. Mills
Laboratory Phone(903) 723-8533
Laboratory LocationEast Texas Family Medicine PA4201 South Loop 256, Palestine, TX 75801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
4201 S LOOP 256
PALESTINE, TX 75801
Nurse Practitioner (Primary Care)
4201 S LOOP 256
PALESTINE, TX 75801
Family Medicine
4201 S LOOP 256
PALESTINE, TX 75801
Family Medicine
4201 S LOOP 256
PALESTINE, TX 75801
Family Medicine
4201 S LOOP 256
PALESTINE, TX 75801
Family Medicine
4201 S LOOP 256
PALESTINE, TX 75801

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 Family Medicine PA's NPI number?

The NPI number for East Texas Family Medicine PA is 1205974417. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is East Texas Family Medicine PA located?

East Texas Family Medicine PA is located at 4201 S Loop 256, Palestine, TX 75801. The listed phone number is (903) 723-8533.

What is East Texas Family Medicine PA's specialty?

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

Does East Texas Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0673541) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Texas Family Medicine PA was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.