Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Texas Kidney Specialists, PA

Organization Nephrology Physician · NPI 1184689622

East Texas Kidney Specialists, PA is a Nephrology Physician 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