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Export Provider Record NPI 1083162473
Memorial Health System Of East Texas
Organization Subpart: YES
Active
NPI Number1083162473
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Medical Specialty
Provider Details
NPI1083162473
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2016-09-14
Last Updated2022-09-15
Authorized OfficialShelli Brooks
CFO
Phone: 9366316702
Mailing AddressPo Box 1447
Lufkin, TX 75902-1447
United States
Phone: (936) 634-8111
📍 View Map
Primary Practice Address1201 W Frank Ave
Lufkin, TX 75904
United States
Phone: (936) 634-8111
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No261QR0208X – Clinic/Center, Radiology, Mobile
No282N00000X – General Acute Care HospitalTX00129
Yes261QM2500X – Clinic/Center, Medical Specialty
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About NPI 1083162473

Memorial Health System Of East Texas is an organization registered in the CMS NPPES NPI Registry with NPI number 1083162473. The primary specialty listed is Clinic/Center, Medical Specialty. The organization is located in Lufkin, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-09-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083162473?

NPI 1083162473 belongs to Memorial Health System Of East Texas, a Clinic/Center, Medical Specialty in Lufkin, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083162473 active?

The current status of NPI 1083162473 in the NPPES registry is Active. The record was last updated on 2022-09-15.

What specialty is NPI 1083162473?

NPI 1083162473 is classified under the taxonomy Clinic/Center, Medical Specialty. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083162473?

You can verify NPI 1083162473 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083162473?

The primary practice address on file for NPI 1083162473 is 1201 W Frank Ave, Lufkin, TX 75904. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083162473 issued?

NPI 1083162473 was first issued (enumerated) on 2016-09-14. The NPPES record was last updated on 2022-09-15.

Practice Location Map

Memorial Health System Of East Texas is located at 1201 W Frank Ave, Lufkin, TX. Use the map below to find directions or verify the practice location.

📍 1201 W Frank Ave, Lufkin, TX 75904  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Memorial Health System Of East Texas. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083162473. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
General Acute Care Hospital00129TX
Data Verified from CMS NPPES Last synced: 2026-06-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162