NPI age
20 years
Enumerated 2006-05-04
● Active Type 2 · Organization
Nacogdoches Medical Clinic Pllc
Nacogdoches Medical Clinic 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
Vyas
Owner
Last NPPES update
2020-01-29
Source: monthly bulk 2026-05
How this organization compares
Across 12343 active internal medicine providers in Texas.
NPI age
20 years
↑ 3 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
607 Russell Blvd, A
Nacogdoches, TX 759651247
Mailing address
607 Russell Blvd, A
Nacogdoches, TX 759651247
Authorized official
Kavita S Vyas, M.D.
Owner
📞 9365602920
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Vasudeva Bommanna, MD Allergy & Immunology NPI 1477594836
- Kavita Vyas, M.D. Internal Medicine NPI 1346246964
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) | 079792001 |
Practice context
Multi-provider organization. 2 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 →
- 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.