# NACOGDOCHES COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NACOGDOCHES COUNTY HOSPITAL DISTRICT
- **Other names:** Nacogdoches Memorial Professional Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053711804
- **Legal business name:** NACOGDOCHES COUNTY HOSPITAL DISTRICT
- **Authorized official:** JOHNICA LOWERY (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (936) 568-8511

## Contact information

- **Practice address:** 1204 N MOUND ST, NACOGDOCHES, TX 75961
- **Practice address phone:** (936) 568-8523
- **Practice address fax:** (936) 568-8588
- **Mailing address:** 1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
- **Mailing address phone:** (936) 568-8523
- **Mailing address fax:** (936) 568-8588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 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