NPI age
20 years
Enumerated 2006-05-03
● Active Type 2 · Organization
Subpart
Good Shepherd Medical Center - Linden, Inc
Good Shepherd Medical Center - Linden, Inc is 1 of 689 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Banos
President
Last NPPES update
2011-07-26
Source: monthly bulk 2026-05
How this organization compares
Across 689 active clinic/center providers in Texas.
NPI age
20 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
903 N Walcott St
Jefferson, TX 756571128
Mailing address
404 N Kaufman St
Linden, TX 755635234
Authorized official
Ed D Banos
President
📞 9033151811
Individual providers at this organization
1 individual provider on file at this primary practice address.
- William Castleman Massage Therapist NPI 1205953130
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 0504760001 | DME |
| 01 | 00H878 | BC BS OF TEXAS |
| 01 | 127650 | SUPERIOR |
| 05 (TX) | 130943706 | |
| 01 | CP3371 | RAILROAD MEDICARE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Good Shepherd Glenn-Garrett Clinic - Jefferson
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Good Shepherd Medical Center - Linden, Inc.
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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.