RAYBURN FAMILY MEDICINE (NPI# 1932708351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932708351 |
| Entity Type | Organization |
| Organization Name | RAYBURN FAMILY MEDICINE |
| Practice Address |
3804 S Medford Dr Lufkin TX 75901-5780 |
| Practice Telephone | 9366342231 |
| Practice Fax Number | 9366348012 |
| Mailing Telephone | 9366342231 |
| Mailing Fax Number | 9366348012 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | DR. ROBERT D KISTLER (MANAGER/OWNER) |
| Authorized Official Telephone | 9366342231 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | G8217 | 01 |
| Other Name | Type Code |
|---|---|
| Rayburn Family Medicine | Other Name - Individual/Organization |
| Robert D. Kistler MD | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3949 Sam Rayburn Pkwy, Brookeland, TX 759316436 | 9366336100 | 9366336988 |
| Street Address |
3804 S MEDFORD DR |
| City | LUFKIN |
| State | TX |
| Zip Code | 75901-5780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114218708 | Brian Spore Do Pa | Point of Service | 3804 S Medford Dr, Lufkin, TX 75901-5780 | 2011-04-29 |
| 1932639101 | Judd Williamson | Nurse Practitioner | 3804 S Medford Dr, Lufkin, TX 75901-5780 | 2017-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518485176 | Dana Caroline Carter | Physical Therapist | 211 South Timberland, Lufkin, TX 75901 | 2017-09-05 |
| 1720433865 | Irene Ifeyinwa Uke | Nurse Practitioner | East Texas Behavioral Health Network, 2001 S Medford Dr., Lufkin, TX 75901 | 2016-04-26 |
| 1225316417 | Anupama Singh Thapar | Dentist | 1809 Tulane Dr, Aspen Dental, Lufkin, TX 75901 | 2011-07-22 |
| 1679889901 | A 2 Y Investments | Durable Medical Equipment & Medical Supplies | 5038 Champions Drive, Lufkin, TX 75901 | 2010-08-24 |
| 1477731321 | Anita K Scoggins | Speech-Language Pathologist | 4100 S Medford Dr Ste 208, Lufkin, TX 75901 | 2008-02-02 |
| 1891982104 | Assisted Living Concepts Inc | Assisted Living Facility | 406 Gobblers Knob Road, Lufkin, TX 75901 | 2007-10-01 |
| 1114077724 | Burke Center | Intermediate Care Facility, Mental Illness | 1010 Cunningham, Lufkin, TX 75901 | 2007-01-12 |
| 1609941921 | Norman Allan Beard | Hearing Instrument Specialist | 2001 N Timberland Dr., Lufkin, TX 75901 | 2006-11-21 |
| 1619077708 | Brian Thomas Spore | Family Medicine | 3804 S Medford, Lufkin, TX 75901 | 2006-09-25 |
| 1689634495 | Charles Bryan Pool | Chiropractor | 1400 E Denman Avenue, Lufkin, TX 75901 | 2006-03-24 |
| Find all providers in zip 75901 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639465065 | Natalia Luraguiz | General Practice | 1605 W. Frank Avenue, Lufkin, TX 75904 | 2011-06-23 |
| 1477645547 | James E Saxton | General Practice | 300 N John Redditt, 7, Lufkin, TX 75904 | 2006-09-28 |
| 1841514445 | C Doyle Haynes Md Pa | General Practice | 1105 W Frank Ave, Ste 290, Lufkin, TX 75904-3303 | 2010-03-25 |
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| Find all providers with the same taxonomy | ||||
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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.