OrganizationActive
East Texas Clinic Inc
NPI 1851045595 · Methadone Clinic · Longview, TX
Provider details
- NPI number
- 1851045595
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Stalnaker, Executive Director(903) 759-4966
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
201 Pine Tree Rd
Longview, TX 75604-4140
Phone: (903) 759-4966
Street-level locationGet directions
Mailing address
Po Box 9486
Longview, TX 75608-9486
Registry dates
- Enumerated
- 2022-02-11
- Last updated
- 2022-04-11
- Certified
- 2022-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.