East Texas Treatment Center
NPI 1023002425 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Kilgore, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Texas Treatment Center is a Comprehensive Outpatient Rehabilitation Facility (CORF) organization in Kilgore, TX (NPI 1023002425).
Provider details
- NPI number
- 1023002425
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terry Hardan, Executive Director(903) 984-5571
- License
- 605680000 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
Mailing address
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2022-02-17
- Certified
- 2022-02-17
Frequently asked questions
- What is East Texas Treatment Center's NPI number?
- East Texas Treatment Center's National Provider Identifier (NPI) is 1023002425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Texas Treatment Center?
- East Texas Treatment Center is classified in the NPPES registry as Comprehensive Outpatient Rehabilitation Facility (CORF) (Ambulatory Health Care Facilities).
- Where is East Texas Treatment Center located?
- East Texas Treatment Center's practice location on file with NPPES is 1200 Dudley Rd, Kilgore, TX 75662-3306.
- What is East Texas Treatment Center's phone number?
- The practice phone number listed in the NPPES registry for East Texas Treatment Center is (903) 984-5571.
- Does East Texas Treatment Center accept Medicare?
- East Texas Treatment Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Texas Treatment Center?
- The authorized official listed on East Texas Treatment Center's NPPES record is Terry Hardan, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Texas Treatment Center's NPI active?
- Yes — East Texas Treatment Center's NPI (1023002425) is active in the NPPES registry as of the last update on 2022-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.