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NPI Code Detail

MEDICARE: NORTHEAST TEXAS EMERGENCY PHYSICIANS, PLLC

MEDICARE: NORTHEAST TEXAS EMERGENCY PHYSICIANS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2363A00000XPhysician Assistant
3207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1114607611
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST TEXAS EMERGENCY PHYSICIANS, PLLC
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number : 800-893-9698
Fax Number :
Provider Business Practice Location Address
First Line : 700 E MARSHALL AVE
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-5580
Country : US
Telephone Number : 903-315-2000
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : DR. PHILLIP CHAPA
Credential : MD
Telephone Number : 337-609-1221
Provider Enumeration Date : 07/19/2023
Last Update Date : 06/04/2026

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Directions to “NORTHEAST TEXAS EMERGENCY PHYSICIANS, PLLC ” Practice Location

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