NPI age
17 years
Enumerated 2009-05-14
● Active Type 2 · Organization
Subpart
East Texas Medical Center Henderson
East Texas Medical Center Henderson is 1 of 121 medicare defined swing bed unit organizations in Texas.
Primary specialty
Medicare Defined Swing Bed Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hale
SR. Vice President Of Finance
Last NPPES update
2009-06-30
Source: monthly bulk 2026-05
How this organization compares
Across 121 active medicare defined swing bed unit providers in Texas.
NPI age
17 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-05Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
300 Wilson St
Henderson, TX 756525956
Mailing address
300 Wilson St
Henderson, TX 756525956
Authorized official
Byron Hale
SR. Vice President Of Finance
📞 9035318010
Individual providers at this organization
16 individual providers on file at this primary practice address.
- Jathan Cantu, M.D. Family Medicine NPI 1932174596
- Joseph Carver, D.O. Family Medicine NPI 1720408909
- Glena Davis, D.O. Obstetrics & Gynecology NPI 1932383981
- Nino Fuller, AGACNP-BC Nurse Practitioner NPI 1962974469
- Mark Hackbarth, MD Anesthesiology NPI 1629071527
- Dwight Hall, CRNA Nurse Anesthetist, Certified Registered NPI 1770582736
- Mica Norman, PMHNP-BC, FNP-C Nurse Practitioner NPI 1053953794
- Cheryl Polkowski, M.D. Family Medicine NPI 1194882241
- Adam Ranginwala, MD Emergency Medicine NPI 1114422623
- Bruno Romeo Miramon, MD Obstetrics & Gynecology NPI 1366564148
- Shawna Sharp, NP Nurse Practitioner NPI 1255954509
- Nicole Stanley, NP Nurse Practitioner NPI 1730732942
- Amanda Trubey, MSN, FNP-C Nurse Practitioner NPI 1205569761
- Gordon Uretsky, MD Family Medicine NPI 1477512820
- Angela Vera, RD, LD Dietitian, Registered NPI 1356626782
- Jerry Wheeler, CRNA Nurse Anesthetist, Certified Registered NPI 1376672006
Specialties
-
Medicare Defined Swing Bed Unit PrimaryA unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ETMC Swing Bed
Practice context
Multi-provider organization. 16 individual providers on file at this primary address.
Subpart of East Texas Medical Center Henderson.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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