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NORTHEAST TEXAS ORTHOPAEDIC SPCECIALISTS PA
NPI 1962525477
Specialist in Kilgore, TX

Active since April 09, 2007
1718 S HENDERSON BLVD, SUITE 4, KILGORE, TX 75662(903) 983-2556(903) 983-3115 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Texas Orthopaedic Spcecialists Pa NPPES

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

NORTHEAST TEXAS ORTHOPAEDIC SPCECIALISTS PA (NPI 1962525477) is a healthcare organization registered as a specialist in Kilgore, Texas and active in the NPI registry since April 2007. The organization lists Karen Latham Waldo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962525477
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHEAST TEXAS ORTHOPAEDIC SPCECIALISTS PA
Location Address1718 S HENDERSON BLVD, SUITE 4Kilgore, TX 75662-3566
Mailing Address1718 S Henderson Blvd, Suite 4Kilgore, TX 75662-3566 · (903) 983-2556 · Fax (903) 983-3115
Phone(903) 983-2556
Fax(903) 983-3115
Organization SubpartNo
Authorized OfficialKaren Latham WaldoOffice Manager · (903) 983-2556
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962525477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1718 S HENDERSON BLVD, Kilgore, TX 75662
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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 12

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

JASON KELLY BROCKWAY MD
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Gregg County (903) 983-2110
MR. CHRISTOPHER KIRK BAILEY APRN-FNP
Nurse Practitioner (Family)
1718 S HENDERSON BLVD
KILGORE, TX 75662
Gregg County (903) 983-2110
KIMBERLY NICOLE PAGE M.D.
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Gregg County (903) 983-2110
ASHLEY JOHNSON
Nurse Practitioner (Family)
1718 S HENDERSON BLVD
KILGORE, TX 75662
Gregg County (903) 983-2110
SHARLA SHEAD
Nurse Practitioner (Family)
1718 S HENDERSON BLVD
KILGORE, TX 75662
Gregg County (903) 983-2110
JUSTIN LEVON DU MD
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Gregg County (903) 983-2110
TRINITY CLINIC
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Gregg County (903) 983-2110
MARK DOUGLAS MILLER MD
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Gregg County (903) 983-2110

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 Northeast Texas Orthopaedic Spcecialists PA's NPI number?

The NPI number for Northeast Texas Orthopaedic Spcecialists PA is 1962525477. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Northeast Texas Orthopaedic Spcecialists PA located?

Northeast Texas Orthopaedic Spcecialists PA is located at 1718 S Henderson Blvd Suite 4, Kilgore, TX 75662. The listed phone number is (903) 983-2556.

What is Northeast Texas Orthopaedic Spcecialists PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Northeast Texas Orthopaedic Spcecialists PA was last updated on August 22, 2020. 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.