EAST TEXAS CARDIOVASCULAR LABS LLC (NPI# 1003835265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003835265 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS CARDIOVASCULAR LABS LLC |
| Other Organization Name | NACOGDOCHES SURGICAL CENTER LTD |
| Practice Address |
1303 N Mound St Nacogdoches TX 75961-4030 |
| Practice Telephone | 9365601844 |
| Practice Fax Number | 9365645145 |
| Mailing Telephone | 9365601844 |
| Mailing Fax Number | 9365645145 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-10-31 |
| Authorized Official Name | MR. PRABHAKAR R GUNIGANTI (OWNER) |
| Authorized Official Telephone | 9365601844 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
008031 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 171256401 | 05 | |
| TX | BLUE CROSS PROVIDER # | HH058A | 01 |
| Other Name | Type Code |
|---|---|
| NACOGDOCHES SURGICAL CENTER LTD | Doing Business As Name - Organization |
| Street Address |
1303 N MOUND ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689693830 | East Texas Cardiovascular Labs, LLC | Clinic/Center | 1303 N Mound St, Nacogdoches, TX 75961-4030 | 2006-07-19 |
| 1275961666 | Pioneer Heart Care, P.a. | Clinic/Center | 1303 N Mound St, Nacogdoches, TX 75961-4030 | 2013-10-22 |
| 1679609515 | Drl Labs Ltd | Clinical Medical Laboratory | 1303 N Mound St, Nacogdoches, TX 75961-4030 | 2007-02-26 |
| 1609895861 | Nacogdoches Heart Clinic, Pa | Clinic/Center | 1303 N Mound St, Nacogdoches, TX 75961-4030 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252883 | Foundation Surgery Affiliate of Nacogdoches LLC | Clinic/Center | 3610 N University Dr, Nacogdoches, TX 75965-2539 | 2005-11-15 |
| 1326182197 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| 1881738607 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| 1306989249 | Medical Arts Surgery Center LLC | Clinic/Center | 3302 Ne Stallings Dr, Nacogdoches, TX 75965-8727 | 2007-02-14 |
| 1134236714 | Lyle Thorstenson Md | Clinic/Center | 3302 Ne Stallings Dr, Nacogdoches, TX 75965-8727 | 2006-08-23 |
| 1497869267 | Doctors Surgery Center, Inc | Clinic/Center | 5300 North St, Nacogdoches, TX 75965-1370 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326785 | Texas Partners Center | Clinic/Center | 3304 Colorado Blvd Ste 203, Denton, TX 76210-6873 | 2020-11-02 |
| 1730789231 | Zeo Surgical Center LLC | Clinic/Center | 4511 Horizon Hill Blvd Ste 100, San Antonio, TX 78229-2399 | 2020-10-26 |
| 1194323725 | Mission Surgery Center LLC | Clinic/Center | 603 E Amber St, Suite 103, San Antonio, TX 78221-7822 | 2020-10-15 |
| 1083211809 | Forest Landing Surgical Center LLC | Clinic/Center | 9303 New Trails Dr Ste 185, The Woodlands, TX 77381-5009 | 2020-10-05 |
| 1457968430 | Park Ventura Endoscopy Center, LLC | Clinic/Center | 981 State Highway 121, Suite 2100, Allen, TX 75013 | 2020-09-24 |
| 1851904056 | Zenith Surgery Center | Clinic/Center | 10710 Kuykendahl Rd Ste 160, The Woodlands, TX 77381-2695 | 2020-08-26 |
| 1063024719 | Horizon Surgery Center | Clinic/Center | 2813 Smith Ranch Rd Ste 180, Pearland, TX 77584-5254 | 2020-08-22 |
| 1376151944 | Rhythm Endovascular & Heart Asc LLC | Clinic/Center | 5418 N Loop 1604 W Ste 250, San Antonio, TX 78249-1207 | 2020-07-20 |
| 1720603079 | Texas Health Surgery Center Chisholm Trail, LLC | Clinic/Center | 5900 Altamesa Blvd, Fort Worth, TX 76132-5473 | 2020-06-12 |
| 1831714419 | Encor Asc, LLC | Clinic/Center | 103 Whispering Winds Dr, Gunter, TX 75058-2560 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
Please comment or provide details below to improve the information on EAST TEXAS CARDIOVASCULAR LABS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.