EAST TEXAS OUT-PATIENT PLLC
NPI: 1417511593
· EDGEWOOD, TX 75117
· Family Medicine Physician
· NPI assigned 04/24/2019
Provider Details
| Authorized Official | DAILEY, JIMMY (OWNER) |
| NPI Enumeration Date | 04/24/2019 |
Related Entities
Other providers sharing the same authorized official: DAILEY, JIMMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
48 |
$915.27 |
| 2022 |
77 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125 |
110 |
$3K |