| Texas Institute For Kidney And Endocrine Disorders, Pa | |
|
10 Medical Center Blvd Ste A Lufkin TX 75904-3163 | |
| (936) 632-4282 | |
| (936) 632-4249 |
| Full Name | Texas Institute For Kidney And Endocrine Disorders, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Medical Center Blvd Ste A, Lufkin, Texas |
| Authorized Official Name and Position | Lance A Sloan (PRESIDENT) |
| Authorized Official Contact | 9366324282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Institute For Kidney And Endocrine Disorders, Pa 10 Medical Center Blvd Ste A Lufkin TX 75904-3163 Ph: (936) 632-4282 | Texas Institute For Kidney And Endocrine Disorders, Pa 10 Medical Center Blvd Ste A Lufkin TX 75904-3163 Ph: (936) 632-4282 |
| NPI Number | 1295915338 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 07/22/2025 |
| Medicare PECOS PAC ID | 3274587159 |
|---|---|
| Medicare Enrollment ID | O20090331000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295915338 | NPI | - | NPPES |
| 0103RM | Other | TX | BLUE CROSS BLUE SHIELD |
| 201207201 | Medicaid | TX | |
| 201207202 | Medicaid | TX | |
| DO7758 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | H0822 (Texas) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | H0822 (Texas) | Secondary |
| Provider Name | Lance A Sloan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588665228 PECOS PAC ID: 8628022506 Enrollment ID: I20050308001206 |
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