OrganizationActive
East Texas Cardiovascular Labs LLC
NPI 1003835265 · Ambulatory Surgical Clinic/Center · Nacogdoches, TX
Provider details
- NPI number
- 1003835265
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Prabhakar Guniganti, Owner(936) 560-1844
- License
- 008031 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1303 N Mound St
Nacogdoches, TX 75961-4030
Phone: (936) 560-1844
Fax: (936) 564-5145
Street-level locationGet directions
Mailing address
1303 N Mound St
Nacogdoches, TX 75961-4030
Other names (DBA / former)
- Doing business as
- Nacogdoches Surgical Center Ltd
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2007-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.