NACOGDOCHES MEMORIAL PROFESSIONAL GROUP
NPI 1316616550
Family Medicine in Nacogdoches, TX

Active since September 10, 2021
1204 N MOUND ST, NACOGDOCHES, TX 75961(936) 568-8427 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2023, Oct 26, 2022, Sep 10, 2021 (3 updates tracked since 2021).

About Nacogdoches Memorial Professional Group NPPES

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

NACOGDOCHES MEMORIAL PROFESSIONAL GROUP (NPI 1316616550) is a healthcare organization registered as a family medicine in Nacogdoches, Texas and active in the NPI registry since September 2021. The organization lists Matthew Malloy, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1316616550
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLION STAR NACOGDOCHES HOSPITAL, LLC
Location Address1204 N MOUND STNacogdoches, TX 75961-4027
Mailing Address1204 N Mound StNacogdoches, TX 75961-4027 · (936) 568-8427
Organization SubpartYes
Authorized OfficialMatthew MalloyDirector Of Operations · (936) 568-8427
Enumeration DateSeptember 10, 2021
Last NPPES UpdateAugust 16, 20233 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1316616550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

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 ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedUrologyTaxonomy 208800000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
1204 N MOUND ST, Nacogdoches, TX 75961

Other Names 1

Doing Business AsNacogdoches Memorial Professional Group

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

Other Providers at the Same Location NPPES 20

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

Family Medicine
1204 N MOUND ST
NACOGDOCHES, TX 75961
Anesthesiology
1204 N MOUND ST
NACOGDOCHES, TX 75961
Obstetrics & Gynecology
1204 N MOUND ST
NACOGDOCHES, TX 75961
General Acute Care Hospital
1204 N MOUND ST
NACOGDOCHES, TX 75961
Advanced Practice Midwife
1204 N MOUND ST
NACOGDOCHES, TX 75961
Radiology (Diagnostic Radiology)
1204 N MOUND ST, NACOGDOCHES MEMORIAL HOSPITAL RADIOLOGY DEPT
NACOGDOCHES, TX 75961
Emergency Medicine
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nurse Anesthetist, Certified Registered
1204 N MOUND ST
NACOGDOCHES, TX 75961

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 Lion Star Nacogdoches Hospital, LLC's NPI number?

The NPI number for Lion Star Nacogdoches Hospital, LLC is 1316616550. It was assigned to this organization in the NPPES registry on September 10, 2021. The provider is doing business as Nacogdoches Memorial Professional Group.

Where is Lion Star Nacogdoches Hospital, LLC located?

Lion Star Nacogdoches Hospital, LLC is located at 1204 N Mound St, Nacogdoches, TX 75961. The listed phone number is (936) 568-8427.

What is Lion Star Nacogdoches Hospital, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lion Star Nacogdoches Hospital, LLC was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.