NPI age
4 years
Enumerated 2022-02-11
● Active Type 2 · Organization
East Texas Clinic Inc
East Texas Clinic Inc is 1 of 80 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stalnaker
Executive Director
Last NPPES update
2022-04-11
Source: monthly bulk 2026-05
How this organization compares
Across 80 active clinic/center providers in Texas.
NPI age
4 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-02Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
201 Pine Tree Rd
Longview, TX 756044140
Mailing address
Po Box 9486
Longview, TX 756089486
Authorized official
Jason Stalnaker
Executive Director
📞 9037594966
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Carlton Smith, LCDC Counselor NPI 1407652548
- Lynette Vickery, LCDC Counselor NPI 1982400040
- Tracey Wisdom, LCDC Counselor NPI 1174329262
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Practice context
Multi-provider organization. 3 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.