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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
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207V00000X
Obstetrics & Gynecology Physician
Primary
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
208800000X
Urology Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Enumeration date
08/29/2014
Last updated
06/06/2025
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