PHYNET, INC. – Family Medicine Physician, NPI 1144245176
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PHYNET, INC.
201 E 2nd
Hughes Springs, TX 756562597
Phone: (903) 639-2004
Fax: (903) 665-2608
Type: Location
402 N Kaufman St
Linden, TX 755635234
Phone: (903) 756-5581
Fax: (903) 756-5005
Type: Location
219 N Polk St
Jefferson, TX 756572131
Phone: (903) 665-2600
Fax: (903) 665-2608
Type: Location
1711 S Henderson Blvd Ste 300
Kilgore, TX 756623563
Phone: (903) 988-0605
Fax: (903) 988-9804
Type: Location
800 N Hill St
Tatum, TX 756911740
Phone: (903) 947-6300
Fax: (903) 947-2408
Type: Location
307 W Upshur Ave
Gladewater, TX 756472121
Phone: (903) 845-2159
Fax: (903) 845-5451
Type: Location
123 N Main St
Lone Star, TX 756682226
Phone: (903) 656-0633
Fax: (903) 656-0636
Type: Location
3211 4th St
Longview, TX 756055145
Phone: (903) 212-1012
Fax: (903) 212-1020
Type: Location
103 N Main St
Lindale, TX 757713115
Phone: (903) 882-3194
Fax: (903) 882-7405
Type: Location
4002, Technology Center, Lost Creek Business Park, Longview, Gregg County, Texas, 75605, United States
LONGVIEW, TX 756052697
Phone: (903) 247-0484
Fax: (903) 247-0485
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-29
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (259 days ago).
Enrollment records
1
Earliest due date
2025-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040729000674 | O | Clinic/Group Practice | TX | 2025-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75656)
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