P Praxis·MD
● Active Type 2 · Organization

East Texas Medical Alliance Llp

Pediatrics·Palestine, TX· NPI 1003935172 · Enumerated 2007 · 19 years on NPI
East Texas Medical Alliance Llp is 1 of 7055 pediatrics organizations in Texas.
NPI age
19 years
Enumerated 2007-03-28
Primary specialty
Pediatrics
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blackwell
Managing Partner
Last NPPES update
2011-12-02
Source: monthly bulk 2026-05

How this organization compares

Across 7055 active pediatrics providers in Texas.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 23% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
111 Medical Drive
Palestine, TX 758014781
📞 9037238554fax 9037232054
Mailing address
115 Medical Drive
Palestine, TX 758014781
📞 9037238554fax 9037232054

Authorized official

Robert Gene Blackwell, M.D.
Managing Partner
📞 9037238554

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    taxonomy 208000000X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    taxonomy 207V00000X
  • Otolaryngology
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    taxonomy 207Y00000X

Identifiers

TypeValueNotes
01 (TX) 00R18C BLUE CROSS GROUP NUMBER
05 (TX) 111610501
01 (TX) 111610503 EPSDT GROUP NUMBER
01 (TX) CQ2287 RR MEDICARE NUMBER

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • First MedChoice
    Type code 3 recorded 2007-03-28

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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