Provider Demographics
NPI:1093149221
Name:EAST TEXAS ACQUISITIONS
Entity Type:Organization
Organization Name:EAST TEXAS ACQUISITIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TINSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:936-897-2865
Mailing Address - Street 1:18428 FM 1818
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:75949-5302
Mailing Address - Country:US
Mailing Address - Phone:936-897-2865
Mailing Address - Fax:
Practice Address - Street 1:18428 FM 1818
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:TX
Practice Address - Zip Code:75949-5302
Practice Address - Country:US
Practice Address - Phone:936-897-2865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health