NPI age
7 years
Enumerated 2018-09-07
● Active Type 2 · Organization
Nacogdoches Pediatric Care
Nacogdoches Pediatric Care is 1 of 31 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hajj
Owner
Last NPPES update
2022-08-17
Source: monthly bulk 2026-05
How this organization compares
Across 31 active clinic/center providers in Texas.
NPI age
7 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-09Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
124 Creekbend Blvd
Nacogdoches, TX 759651780
Mailing address
2407 Pinehurst Dr
Monroe, LA 712012314
Authorized official
Misti Hajj
Owner
📞 3183485945
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 4053464 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Nacogdoches Pediatric Extended Care
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.