Impact Physician Group, Texas LLC
NPI 1740803113ActiveOrganization· Internal Medicine· Lufkin, TX
Internal Medicine in Lufkin, Texas, registered in NPPES in May 2020. The authorized official on file is Paul Miller, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740803113 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2020 |
| Last updated in NPPES | Sep 15, 2023 |
| Certified by provider | Sep 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine, Nephrology | 207RN0300X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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