NPI age
6 years
Enumerated 2019-11-08
● Active Type 2 · Organization
Subpart
Ancor Health Center, PA
Ancor Health Center, PA is 1 of 4038 specialist organizations in Texas.
Primary specialty
Specialist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Cook
Office Manager
Last NPPES update
2019-11-14
Source: monthly bulk 2026-05
How this organization compares
Across 4038 active specialist providers in Texas.
NPI age
6 years
↓ 12 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-11Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
2304 Judson Rd Ste D
Longview, TX 756054675
Mailing address
2304 Judson Rd Ste D
Longview, TX 756054675
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2403 Judson Rd Ste D
Longview, TX 756054639
Authorized official
Earlene Cook
Office Manager
📞 9039858110
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Kristi Bagnell, MD Pediatrics NPI 1841444692
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SHINING STAR PEDIATRICS
Practice context
Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.
Subpart of Ancor Health Center PA.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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