East Texas Medical Center Healthcare Associates

NPI 1013245414 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1013245414
Enumeration Date 11/23/2009
Last Updated 04/19/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KIM KIM
Position VICE PRESIDENT
Phone (903) 596-3844
Fax (903) 596-3843
Practice Location
700 OLYMPIC PLAZA CIR STE 600
TYLER TX, 75701-1954, US
Phone (903) 596-3844
Fax (903) 596-3843
Business Location
PO BOX 9477
TYLER TX, 75711-9477, US
Phone (903) 594-2450
Fax (903) 939-0610
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, East Texas Medical Center Healthcare Associates NPI is 1013245414, taxonomy code is 332B00000X East Texas Medical Center Healthcare Associates physically located at 700 Olympic Plaza Cir Ste 600, Tyler TX, 75701-1954. NPI Number 1033115704 has the healthcare provider type.

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1013245414 NPI number is provided on an as is basis without warranty of any kind. 1013245414 is maintained by the National Plan & Provider Enumeration System. The contents of East Texas Medical Center Healthcare Associates are for informational purposes only.