NPI age
20 years
Enumerated 2005-08-31
● Active Type 2 · Organization
East Texas Treatment Center
East Texas Treatment Center is 1 of 232 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hardan
Executive Director
Last NPPES update
2022-02-17
Source: monthly bulk 2026-05
How this organization compares
Across 232 active clinic/center providers in Texas.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
1200 Dudley Rd
Kilgore, TX 756623306
Mailing address
1200 Dudley Rd
Kilgore, TX 756623306
Authorized official
Terry Hardan
Executive Director
📞 9039845571
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Jessica Davis, OTR, MOT Occupational Therapist NPI 1437801149
- Shirley Goetze, CCC/SLP Speech-Language Pathologist NPI 1962710962
- Cynthia Kulak, P.T. Physical Therapist NPI 1063502888
- Carol Lambert, OTR Clinic/Center NPI 1871622050
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Physical TherapistPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 121835602 |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.