Deep East Texas Maternal & Family Health PA
NPI 1043307986ActiveOrganization· Family Medicine· Jasper, TX
Family Medicine in Jasper, Texas, registered in NPPES in October 2006. The authorized official on file is Martin E. Gilliland, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043307986 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2006 |
| Last updated in NPPES | Jun 12, 2024 |
| Certified by provider | Jun 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Family Medicine providers in Jasper
- 1154349033
- 1699863092
- 1295200228
- 1639216336
- 1013472448
- 1578755898
- 1881618742
- 1487650420
- 1942276605
- 1376509190
- 1811044332
- 1245282938