# EAST TEXAS ID ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881444040
- **Authorized official:** MANDEEP BAINS (MANAGER)
- **Authorized official phone:** (936) 255-7330

## Contact information

- **Practice address:** 505 S JOHN REDDITT DR, LUFKIN, TX 75904-3120
- **Practice address phone:** (936) 634-8311
- **Mailing address:** PO BOX 150456, LUFKIN, TX 75915-0456
- **Mailing address phone:** (936) 255-7330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2024
- **Last updated:** 06/30/2025