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EAST TEXAS MEDICAL CENTER CROCKETT
NPI 1619941291
Clinic/Center - Ambulatory Surgical in Crockett, TX

Active since February 13, 2006
1100 E LOOP 304, CROCKETT, TX 75835(936) 546-3862(936) 546-3816 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About East Texas Medical Center Crockett NPPES

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

EAST TEXAS MEDICAL CENTER CROCKETT (NPI 1619941291) is a healthcare organization registered as an ambulatory surgical in Crockett, Texas and active in the NPI registry since February 2006. The organization lists Stacy Bailey Dise, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1619941291
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEAST TEXAS MEDICAL CENTER CROCKETT
Location Address1100 E LOOP 304Crockett, TX 75835-1810
Mailing AddressPo Box 1129Crockett, TX 75835-1129 · (936) 546-3849 · Fax (936) 546-3816
Phone(936) 546-3862
Fax(936) 546-3816
Organization SubpartNo
Authorized OfficialStacy Bailey DiseBusiness Office Director · (936) 546-3810
Enumeration DateFebruary 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619941291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1100 E LOOP 304, Crockett, TX 75835
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Other Providers at the Same Location NPPES 18

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

LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC
Ambulance
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 544-4505
EAST TEXAS MEDICAL CENTER CROCKETT
General Acute Care Hospital
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-3803
EAST TEXAS MEDICAL CENTER CROCKETT
General Acute Care Hospital
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-3862
MID COAST MEDICAL CENTER CROCKETT INC
General Acute Care Hospital (Critical Access)
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (512) 617-7505
MR. MARK RAY SHEETS FNP-C
Nurse Practitioner
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-3891
KEVIN ALAN CURRAN M.D.
Internal Medicine (Nephrology)
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-2288
PATRICK ALLEN HARVEY
Pharmacist (Psychiatric)
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-3891
KEVIN A CURRAN MD PA
Internal Medicine (Nephrology)
1100 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-2288

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 Medical Center Crockett's NPI number?

The NPI number for East Texas Medical Center Crockett is 1619941291. It was assigned to this organization in the NPPES registry on February 13, 2006.

Where is East Texas Medical Center Crockett located?

East Texas Medical Center Crockett is located at 1100 E Loop 304, Crockett, TX 75835. The listed phone number is (936) 546-3862.

What is East Texas Medical Center Crockett's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for East Texas Medical Center Crockett was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.