| Nacogdoches Medical Clinic Pllc | |
|
607 Russell Blvd A Nacogdoches TX 75965-1247 | |
| (936) 560-2920 | |
| (866) 861-6312 |
| Full Name | Nacogdoches Medical Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 607 Russell Blvd, Nacogdoches, Texas |
| Authorized Official Name and Position | Kavita S Vyas (OWNER) |
| Authorized Official Contact | 9365602920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nacogdoches Medical Clinic Pllc 607 Russell Blvd A Nacogdoches TX 75965-1247 Ph: (936) 560-2920 | Nacogdoches Medical Clinic Pllc 607 Russell Blvd A Nacogdoches TX 75965-1247 Ph: (936) 560-2920 |
| NPI Number | 1841248630 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 01/29/2020 |
| Medicare PECOS PAC ID | 5890770580 |
|---|---|
| Medicare Enrollment ID | O20040618000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841248630 | NPI | - | NPPES |
| 079792001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kavita S Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346246964 PECOS PAC ID: 4284646027 Enrollment ID: I20060619000281 |
| Provider Name | Brinson Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922410828 PECOS PAC ID: 0345545950 Enrollment ID: I20160219000223 |
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