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Organization
PINEYWOODS DIAGNOSTIC CLINIC
Active
Organization
PINEYWOODS DIAGNOSTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENIN PINNAMANENI MD (PARTNER)
(936) 876-5719
Entity
Organization
Contact information
Practice address
9423 S US HIGHWAY 69, HUNTINGTON, TX 75949-1515
(936) 876-5719
(936) 876-3308
Mailing address
PO BOX 1297, HUNTINGTON, TX 75949-1297
(936) 876-5719
(936) 876-3308
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
F8981
TX
207QA0505X
Adult Medicine Physician
J9263
TX
207R00000X
Internal Medicine Physician
F8981
TX
207R00000X
Internal Medicine Physician
Primary
J9263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T87K
BLUECROSS BLUESHIELD
TX
05
—
085414301
—
TX
01
—
DB3800
RAILROAD MEDICARE
TX
Enumeration date
11/03/2006
Last updated
10/01/2025
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