UNIVERSITY DRIVE HEALTH CENTER, P.A. (NPI# 1649289711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649289711 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY DRIVE HEALTH CENTER, P.A. |
| Practice Address |
932 N University Dr Nacogdoches TX 75961-4643 |
| Practice Telephone | 9365641188 |
| Practice Fax Number | 9365604137 |
| Mailing Telephone | 9365641188 |
| Mailing Fax Number | 9365604137 |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2010-07-06 |
| Authorized Official Name | DR. WILLIAM WAYNE HAIRSTON (OWNER/ PRESIDENT) |
| Authorized Official Telephone | 9365641188 |
| Authorized Official Credential | D. O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
932 N UNIVERSITY DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720445851 | Maria Jenkins | Nurse Practitioner | 932 N University Dr, Nacogdoches, TX 75961-4643 | 2016-01-20 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801850987 | David D Smyers | General Practice | 4909 North St, Suite 202, Nacogdoches, TX 75965-1800 | 2006-04-14 |
| 1083733257 | Donald E. Cagle, M.d. | General Practice | 320 Russell Blvd, Nacogdoches, TX 75965-1240 | 2007-03-28 |
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| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
Please comment or provide details below to improve the information on UNIVERSITY DRIVE HEALTH CENTER, P.A..
| 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.