East Texas Medical Specialists Pllc, NPI 1235162777
Emergency Medicine Physician in Longview, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1235162777
NPI Entity Type Organization
Provider Name East Texas Medical Specialists Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 700 E Marshall Ave, Longview, TX, US
Provider Mailing Address 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX, US, 752433405
Is Sole Proprietor? No
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Organization Official

Official Name M.D. Stanley D. Upchurch
Official Position PARTNER
Phone 903-315-2445

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207P00000X

Taxonomy Name Emergency Medicine Physician
Classification

Emergency Medicine

Group

Allopathic & Osteopathic Physicians

Description An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

East Texas Medical Specialists Pllc
700 E Marshall Ave

Longview, TX, US

Phone: 903-315-2000

Mailing Address

East Texas Medical Specialists Pllc
9229 Lyndon B Johnson Fwy
Suite 250
Dallas, TX, US
ZIP 752433405
Phone: 972-739-3097
Fax: 972-739-2673

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207R00000X

Allopathic & Osteopathic Physicians

Internal Medicine

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
165657101 TX MEDICAID 05
0008LT TX BCBS 01

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