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Organization
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Active
Organization
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Active
Parent organization
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Other names
Nacogdoches Memorial Professional Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Authorized official
JOHNICA LOWERY (DIRECTOR OF OPERATIONS)
(936) 568-8511
Entity
Organization
Contact information
Practice address
1204 N MOUND ST, NACOGDOCHES, TX 75961
(936) 568-8523
(936) 568-8588
Mailing address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 568-8523
(936) 568-8588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
08/29/2014
Last updated
06/06/2025
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