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NACOGDOCHES INTERNAL MEDICINE PLLC
NPI 1609319458
Internal Medicine in Nacogdoches, TX

Active since November 28, 2016
412 NORTH ST STE E, NACOGDOCHES, TX 75961(936) 560-1812(936) 560-3070 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 21, 2018, Apr 21, 2017 (2 updates tracked since 2017).

About Nacogdoches Internal Medicine Pllc NPPES

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

NACOGDOCHES INTERNAL MEDICINE PLLC (NPI 1609319458) is a healthcare organization registered as an internal medicine in Nacogdoches, Texas and active in the NPI registry since November 2016. The organization lists Walter Brad Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1609319458
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNACOGDOCHES INTERNAL MEDICINE PLLC
Location Address412 NORTH ST STE ENacogdoches, TX 75961
Mailing Address412 North St Ste ENacogdoches, TX 75961-5070 · (936) 560-1812 · Fax (936) 560-3070
Phone(936) 560-1812
Fax(936) 560-3070
Organization SubpartNo
Authorized OfficialWalter Brad WilsonPresident · (936) 560-1812
Enumeration DateNovember 28, 2016
Last NPPES UpdateMay 21, 20182 updates tracked since enumeration
✔ NPI 1609319458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · H3293
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
412 NORTH ST STE E, Nacogdoches, TX 75961
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Other Identifiers 2

Medicaid377530601TX
Medicaid113906502TX

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

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 Nacogdoches Internal Medicine PLLC's NPI number?

The NPI number for Nacogdoches Internal Medicine PLLC is 1609319458. It was assigned to this organization in the NPPES registry on November 28, 2016.

Where is Nacogdoches Internal Medicine PLLC located?

Nacogdoches Internal Medicine PLLC is located at 412 North St Ste E, Nacogdoches, TX 75961. The listed phone number is (936) 560-1812.

What is Nacogdoches Internal Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Nacogdoches Internal Medicine PLLC was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.