East Texas Medical Center Athens

NPI 1356320873 - Clinic/Center - 261QR1300X

NPI Details
NPI 1356320873
Enumeration Date 01/12/2006
Last Updated 12/05/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAT PAT
Position ADMINISTATOR
Phone (903) 675-2216
Fax
Practice Location
2000 S PALESTINE ST
ATHENS TX, 75751-5610, US
Phone (903) 675-2216
Fax
Business Location
PO BOX 1996
ATHENS TX, 75751-1996, US
Phone
Fax
Toxanomy
Taxonomy Code 261QR1300X
License State Texas
License Number 000374
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According to our database, East Texas Medical Center Athens NPI is 1356320873, taxonomy code is 261QR1300X and license number is 000374, license state is located at Texas. East Texas Medical Center Athens physically located at 2000 S Palestine St, Athens TX, 75751-5610. NPI Number 1033115704 has the healthcare provider type.

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1356320873 NPI number is provided on an as is basis without warranty of any kind. 1356320873 is maintained by the National Plan & Provider Enumeration System. The contents of East Texas Medical Center Athens are for informational purposes only.