OrganizationActive
Northeast Texas Orthopaedic Spcecialists PA
NPI 1962525477 · Specialist · Kilgore, TX
Provider details
- NPI number
- 1962525477
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Karen Waldo, Office Manager(903) 983-2556
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 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
1718 S Henderson Blvd
Suite 4
Kilgore, TX 75662-3566
Phone: (903) 983-2556
Fax: (903) 983-3115
Street-level locationGet directions
Mailing address
1718 S Henderson Blvd
Kilgore, TX 75662-3566
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.