NPI age
9 years
Enumerated 2016-11-28
● Active Type 2 · Organization
Nacogdoches Internal Medicine Pllc
Nacogdoches Internal Medicine Pllc is 1 of 12343 internal medicine organizations in Texas.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
President
Last NPPES update
2018-05-21
Source: monthly bulk 2026-05
How this organization compares
Across 12343 active internal medicine providers in Texas.
NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-11Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
412 North St Ste E
Nacogdoches, TX 75961
Mailing address
412 North St Ste E
Nacogdoches, TX 759615070
Authorized official
Walter Brad Wilson, M.D.
President
📞 9365601812
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 377530601 | |
| 05 (TX) | 113906502 |
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 →
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