EAST TEXAS FAMILY HEALTHCARE PLLC


Address: 1905 N Margaret Ave, Kirbyville, TX 75956-1652
Phone: 4094200816

EAST TEXAS FAMILY HEALTHCARE PLLC (NPI# 1629087630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629087630
Entity Type Organization
Organization Name EAST TEXAS FAMILY HEALTHCARE PLLC
Other Organization Name FAMILY HEALTHCARE- KIRBYVILLE
Practice Address 1905 N Margaret Ave
Kirbyville
TX 75956-1652
Practice Telephone 4094200816
Practice Fax Number 4094200821
Mailing Telephone 4094200816
Mailing Fax Number 4094200821
Enumeration Date 2006-08-07
Last Update Date 2012-03-28
Authorized Official Name KALYAN K RATH (OWNER)
Authorized Official Telephone 4093849200
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
673880 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 161594003 05

Other Provider/Organization Names

Other Name Type Code
Family Healthcare- Kirbyville Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811121387 East Texas Family Healthcare Pllc Pediatrics 920 N. Magnolia, Woodville, TX 75979-4519 2009-05-12
1972512986 East Texas Family Healthcare Pllc Clinic/Center 1304 W Court St, Newton, TX 75966-3009 2006-08-07

Office Location

Street Address 1905 N MARGARET AVE
City KIRBYVILLE
State TX
Zip Code 75956-1652

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972653582 Burke Center Intermediate Care Facility, Mental Illness 703 W. Martin Luther King Drive, Kirbyville, TX 75956 2007-01-12
1578620431 Stewart Elgen Braddock Dentist 2091 South Margaret, Kirbyville, TX 75956 2007-01-02
1700984978 Newton Family Clinic P.a. Clinic/Center 104 E. Lavielle Street, Kirbyville, TX 75956 2006-09-20
1972524627 Jasper Memorial Family Practice Center Family Medicine 205 E. Louielle, Kirbyville, TX 75956 2006-07-21
1356328215 Heartway IIi Corporation Skilled Nursing Facility 700 N Herndon Ave, Kirbyville, TX 75956-1518 2005-12-30
1376594390 Barbara Reneau Registered Nurse 700 N Herndon Ave, Kirbyville, TX 75956-1518 2006-05-15
1447200118 Liberty County Hospital District No 1 Skilled Nursing Facility 700 N Herndon Ave, Kirbyville, TX 75956-1518 2006-05-11
1841352440 Texas Total Care, Inc. Home Health 1211 N Margaret Ave, Kirbyville, TX 75956-1619 2006-12-14
1083751820 John Vincent Sessions Dentist 106 W Main St, Kirbyville, TX 75956-2032 2007-01-31
1063485548 Christus Health Southeast Texas Clinic/Center 205 E Lavielle St, Kirbyville, TX 75956-2119 2006-02-07
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700984978 Newton Family Clinic P.a. Clinic/Center 104 E. Lavielle Street, Kirbyville, TX 75956 2006-09-20
1063485548 Christus Health Southeast Texas Clinic/Center 205 E Lavielle St, Kirbyville, TX 75956-2119 2006-02-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639776586 West Texas Family Medicine, Pllc Clinic/Center 315 W Cleveland St, Hale Center, TX 79041 2020-10-05
1780298547 Coryell County Memorial Hospital Authority Clinic/Center 498 Avenue E, Moody, TX 76557-3579 2020-08-31
1760005953 Eastland Memorial Hospital District Clinic/Center Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 2020-05-21
1023631306 Eastland Memorial Hospital District Clinic/Center Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 2020-05-21
1346862752 Ascension Seton Clinic/Center 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 2020-05-08
1255977211 Frio Hospital Association Clinic/Center 801 Fm W 117, Dilley, TX 78017 2019-11-25
1700447950 Scott & White Hospital - Marble Falls Clinic/Center 105 Fm2342, Kingsland, TX 78639-6010 2019-06-27
1275193005 Brenham Family Practice and Obstetrics Pa Clinic/Center 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 2019-06-14
1588137103 Nocona Hospital District Clinic/Center 108 E Boggess St, Saint Jo, TX 76265-0238 2019-01-07
1033687900 Gainesville Community Hospital, Inc. Clinic/Center 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 2018-11-08
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Competitor

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City KIRBYVILLE
Zip Code 75956

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Dataset Information

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.

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