MEMORIAL HEALTH SYSTEM OF EAST TEXAS (NPI# 1437119922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437119922 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH SYSTEM OF EAST TEXAS |
| Other Organization Name | HENDERSON KIDNEY DISEASE CTR |
| Practice Address |
1201 W Frank Ave Lufkin TX 75904-3357 |
| Mailing Address |
Po Box 1447 Henderson Kidney Disease Ctn Lufkin TX 75902 |
| Practice Telephone | 9366348111 |
| Practice Fax Number | 9366397827 |
| Mailing Telephone | 9366348111 |
| Mailing Fax Number | 9366397827 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2008-07-01 |
| Authorized Official Name | MR. JOE FREUDENBERGER (CEO) |
| Authorized Official Telephone | 9366348111 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HEALTH SYSTEM OF EAST TEXAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
000129 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 121703605 | 05 |
| Other Name | Type Code |
|---|---|
| Henderson Kidney Disease Ctr | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548358351 | Memorial Health System of East Texas | Home Health | 1109 Ellis Ave, Lufkin, TX 75904-3346 | 2006-10-10 |
| 1396746129 | Memorial Health System of East Texas | Clinic/Center | 1201 W Frank, Lufkin, TX 75904 | 2005-08-02 |
| 1083162473 | Memorial Health System of East Texas | Clinic/Center | 1201 W Frank Ave, Lufkin, TX 75904 | 2016-09-14 |
| 1457454431 | Memorial Health System of East Texas | Rehabilitation Unit | 1201 W Frank, Lufkin, TX 75904 | 2006-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HEALTH SYSTEM OF EAST TEXAS | 1717 Highway 59 Loop N, Livingston, TX 77351-5710 |
| Street Address |
1201 W FRANK AVE |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629059548 | Joe Parker Tait | Registered Nurse | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2005-11-08 |
| 1851955033 | Shaquitta Lashae Hood | Licensed Vocational Nurse | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2019-04-23 |
| 1730653841 | Alejos Salais Jr. | Nurse Anesthetist, Certified Registered | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2019-01-11 |
| 1881173060 | Hospitalist Medicine Physicians of Texas - Lufkin, Pllc | Internal Medicine | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2018-08-09 |
| 1528578051 | Destiny Michelle New | Nurse Practitioner | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2017-10-11 |
| 1144748286 | Pineywoods Pain Associates, Pllc | Nurse Anesthetist, Certified Registered | 1201 W Frank Ave, Anesthesia Department, Lufkin, TX 75904-3357 | 2017-09-08 |
| 1336675032 | Patrick Imonitie Igharosa | Internal Medicine | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2017-05-02 |
| 1972053684 | Patricia Gay Lawson | Nurse Practitioner | 1201 W Frank Ave, Lufkin, TX 75904 | 2016-10-05 |
| 1811445091 | Morgan Grebe | Physician Assistant | 1201 W Frank Ave, Lufkin, TX 75904-3357 | 2016-09-15 |
| 1083162473 | Memorial Health System of East Texas | Clinic/Center | 1201 W Frank Ave, Lufkin, TX 75904 | 2016-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427342872 | Sng - Lufkin Dialysis Center Lp | Clinic/Center | 1520 W Frank Ave, Lufkin, TX 75904-3314 | 2011-06-02 |
| 1952365991 | Renal Treatment Centers Southeast Lp | Clinic/Center | 700 S John Redditt Dr, Lufkin, TX 75904-3145 | 2006-04-14 |
| 1144829748 | Aqua Dialysis Frank Avenue, LLC | Clinic/Center | 1520 W Frank Ave, Lufkin, TX 75904-3314 | 2020-10-23 |
| 1629600408 | Aqua Dialysis Lufkin LLC | Clinic/Center | 700 S John Redditt Dr, Lufkin, TX 75904-3145 | 2020-02-10 |
| 1780151183 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 1520 W Frank Ave, Lufkin, TX 75904-3314 | 2018-10-24 |
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|---|---|---|---|---|
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| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
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| 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.