Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

East Texas Kidney Specialists, PA

Organization Nephrology Physician · NPI 1184689622

East Texas Kidney Specialists, PA provides Nephrology Physician services in Longview, Texas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3535 N Fourth St Ste 301
Longview, TX 75605-0037
Phone: (903) 234-9992
Fax: (903) 234-8287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1184689622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Hagood — Practice Administrator · (903) 234-9992
Other names East Texas Kidney Specialists; East Texas Kidney Specialists
NPI enumeratedApril 18, 2006
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021
Mailing address3535 N Fourth St Ste 301, Longview, TX 75605-0037

Other providers in Longview