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East Texas Treatment Center

Comprehensive Outpatient Rehabilitation Facility (CORF) in Kilgore, TX · enumerated 2005 · authorized official Terry Hardan, Executive Director.

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

National Provider Identifier

1023002425

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Registry record

Entity type Organization (Type 2)
Legal business name East Texas Treatment Center
Practice address 1200 Dudley Rd, Kilgore, TX, 75662
Phone (903) 984-5571
Fax (903) 984-1913
Enumeration date Aug 31, 2005
Last updated in NPPES Feb 17, 2022

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 605680000 (TX) Secondary
261QR0401X Comprehensive Outpatient Rehabilitation Facility (CORF) Ambulatory Health Care Facilities Primary

Authorized official

Name Terry Hardan
Title Executive Director
Phone (903) 984-5571

Other identifiers

Identifier Type State Issuer
121835602 Medicaid TX -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-02-17. Verify at npiregistry.cms.hhs.gov.
Where is East Texas Treatment Center located?
The practice location on file with NPPES is in Kilgore, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-17.