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East Texas Kidney Specialists,PA

Nephrology Physician in Longview, TX · enumerated 2006 · authorized official Tiffany Hagood, Practice Administrator.

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

National Provider Identifier

1184689622

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Registry record

Entity type Organization (Type 2)
Legal business name East Texas Kidney Specialists,PA
Other name <Unavail>
Practice address 3535 N Fourth St Ste 301, Longview, TX, 75605
Phone (903) 234-9992
Fax (903) 234-8287
Enumeration date Apr 18, 2006
Last updated in NPPES Oct 6, 2021

Taxonomy & classification

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Tiffany Hagood
Title Practice Administrator
Phone (903) 234-9992

Other identifiers

Identifier Type State Issuer
0035GN Other TX BLUE CROSS & BLUE SHIELD

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 Kidney Specialists,PA?
East Texas Kidney Specialists,PA is registered in NPPES as a Nephrology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-06.