Memorial Medical Center of East Texas
NPI 1538114442ActiveOrganization· Specialist· Lufkin, TX
Specialist in Lufkin, Texas, registered in NPPES in May 2006. The authorized official on file is Fonda R. Sullivan, Insurance Supervisor.
Overview
| NPI | 1538114442 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | F8398 | TX |
| Specialist | 174400000X | G4097 | TX |
| Specialist | 174400000X | H9325 | TX |
| Specialist | 174400000X | L9581 | TX |
| Specialist | 174400000X | H4425 | TX |
| Specialist | 174400000X | J0855 | TX |
| Specialist | 174400000X | E8818 | TX |
| Specialist | 174400000X | F8981 | TX |
| Specialist | 174400000X | E1447 | TX |
| Specialist | 174400000X | H0057 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Lufkin
- 1427087071
- 1477582039
- 1871538702
- 1083806020
- 1124097399
- 1215057906
- 1235498494
- 1275652901
- 1346418738
- 1508806894
- 1619031945
- 1720121460
All 16 Specialist providers in Lufkin · All Specialist providers in Texas