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EAST TEXAS INTERNAL MEDICINE PA
NPI 1700055001
Internal Medicine in Lufkin, TX

Active since February 21, 2008
515 GASLIGHT BLVD, LUFKIN, TX 75904(936) 634-3995 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About East Texas Internal Medicine Pa NPPES

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

EAST TEXAS INTERNAL MEDICINE PA (NPI 1700055001) is a healthcare organization registered as an internal medicine in Lufkin, Texas and active in the NPI registry since February 2008. The organization lists Doris Shipley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1700055001
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAST TEXAS INTERNAL MEDICINE PA
Location Address515 GASLIGHT BLVDLufkin, TX 75904-3127
Mailing Address515 Gaslight BlvdLufkin, TX 75904-3127 · (936) 634-3995
Phone(936) 634-3995
Organization SubpartNo
Authorized OfficialDoris ShipleyOffice Manager · (936) 634-3995
Enumeration DateFebruary 21, 2008
Last NPPES UpdateAugust 11, 2011
✔ NPI 1700055001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
515 GASLIGHT BLVD, Lufkin, TX 75904
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Other Identifiers 3

Medicare PIN00Z616TX
Medicare UPING15469TX
Medicaid196347201TX

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

Other Providers at the Same Location NPPES 3

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

DR. PRASAD K PEDDU M.D.
Internal Medicine
515 GASLIGHT BLVD
LUFKIN, TX 75904
Angelina County (936) 634-3995
EPIC INTERNAL MEDICINE PLLC
Internal Medicine
515 GASLIGHT BLVD
LUFKIN, TX 75904
Angelina County (936) 631-5600
SUSHMA ARRAMRAJU M.D
Internal Medicine
515 GASLIGHT BLVD
LUFKIN, TX 75904
Angelina County (936) 631-5600

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 Internal Medicine PA's NPI number?

The NPI number for East Texas Internal Medicine PA is 1700055001. It was assigned to this organization in the NPPES registry on February 21, 2008.

Where is East Texas Internal Medicine PA located?

East Texas Internal Medicine PA is located at 515 Gaslight Blvd, Lufkin, TX 75904. The listed phone number is (936) 634-3995.

What is East Texas Internal Medicine PA'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 East Texas Internal Medicine PA was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.