DMCTX2, PLLC
NPI 1447711007
Clinic/Center - Multi-Specialty in Lufkin, TX

Active since March 27, 2019CLIA 45D2166421 · Certificate of Compliance
410 GASLIGHT BLVD, LUFKIN, TX 75904(936) 635-1127 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2021, Jul 17, 2019, Jul 8, 2019 (3 updates tracked since 2019).

About Dmctx2, Pllc NPPES

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

DMCTX2, PLLC (NPI 1447711007) is a healthcare organization registered as a multi-specialty in Lufkin, Texas and active in the NPI registry since March 2019. The organization holds a CLIA Certificate of Compliance certificate valid through June 24, 2027 and lists Della Victoria Bumstead, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447711007
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDMCTX2, PLLC
Location Address410 GASLIGHT BLVDLufkin, TX 75904-3123
Mailing Address410 Gaslight BlvdLufkin, TX 75904-3123 · (936) 630-8813
Organization SubpartNo
Authorized OfficialDella Victoria BumsteadAdministrator · (409) 429-8457
Enumeration DateMarch 27, 2019
Last NPPES UpdateSeptember 14, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1447711007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
410 GASLIGHT BLVD, Lufkin, TX 75904

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dmctx2, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Dmctx2, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1962046383
410 GASLIGHT BLVD
Lufkin, TX 75904
(936) 639-5150
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285457242
410 GASLIGHT BLVD
Lufkin, TX 75904
(936) 639-5150
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1386970523
10 MEDICAL CENTER BLVD STE C
Lufkin, TX 75904
(936) 639-4393
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1578062246
505 S JOHN REDDITT DR
Lufkin, TX 75904
(936) 634-8311
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1073981460
203 CHRISTIE DR
Lufkin, TX 75904
(936) 699-5433
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1194219824
600 E HOSPITAL ST
San Augustine, TX 75972
(936) 275-4420
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1881391225
1615 W CHURCH ST
Livingston, TX 77351
(888) 634-3627
✔ PECOS✔ Accepts Medicare44 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D2166421

Dmctx2, LLC · Lufkin, TX
Active · expires Jun 24, 2027
CLIA Number45D2166421
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorJoseph A. Koch
Laboratory Phone(936) 639-5150
Laboratory LocationDmctx2, LLC410 Gaslight Blvd, Lufkin, TX 75904
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Dmctx2, PLLC's NPI number?

The NPI number for Dmctx2, PLLC is 1447711007. It was assigned to this organization in the NPPES registry on March 27, 2019.

Where is Dmctx2, PLLC located?

Dmctx2, PLLC is located at 410 Gaslight Blvd, Lufkin, TX 75904. The listed phone number is (936) 635-1127.

What is Dmctx2, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Dmctx2, PLLC enrolled in Medicare?

Yes. Dmctx2, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dmctx2, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Dmctx2, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Family Practice (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dmctx2, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2166421) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dmctx2, PLLC was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.