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East Texas Medical Alliance LLP

Pediatrics Physician in Palestine, TX · enumerated 2007 · authorized official Robert Blackwell, Managing Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003935172

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Registry record

Entity type Organization (Type 2)
Legal business name East Texas Medical Alliance LLP
Other name <Unavail>
Practice address 111 Medical Drive, Palestine, TX, 75801
Fax (903) 723-2054
Enumeration date Mar 28, 2007
Last updated in NPPES Dec 2, 2011

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Robert Blackwell
Title Managing Partner

Other identifiers

Identifier Type State Issuer
00R18C Other TX BLUE CROSS GROUP NUMBER
111610501 Medicaid TX -
111610503 Other TX EPSDT GROUP NUMBER
CQ2287 Other TX RR MEDICARE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is East Texas Medical Alliance LLP?
East Texas Medical Alliance LLP is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-02.