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

Nacogdoches Internal Medicine PLLC

Organization Internal Medicine Physician · NPI 1609319458

Nacogdoches Internal Medicine PLLC is an Internal Medicine Physician in Nacogdoches, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

412 N St Ste E
Nacogdoches, TX 75961
Phone: (936) 560-1812
Fax: (936) 560-3070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence H3293 (TX)

Record details

NPI number1609319458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Wilson — President · (936) 560-1812
NPI enumeratedNovember 28, 2016
Last updated in NPPESMay 21, 2018
Mailing address412 North St Ste E, Nacogdoches, TX 75961-5070

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