East Texas Medical Center Jacksonville

NPI 1023342755 - Clinic/Center - 261QR1300X

NPI Details
NPI 1023342755
Enumeration Date 09/29/2009
Last Updated 07/28/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JACK R JACK
Position ADMINISTRATOR
Phone (903) 876-5888
Fax (903) 876-5889
Practice Location
580 NORTH FRANKSTON HIGHWAY
FRANKSTON TX, 75763-2654, US
Phone (903) 876-5888
Fax (903) 876-5889
Business Location
501 S RAGSDALE ST
JACKSONVILLE TX, 75766-2434, US
Phone (903) 541-5100
Fax (903) 541-5068
Toxanomy
Taxonomy Code 261QR1300X
License State
License Number
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According to our database, East Texas Medical Center Jacksonville NPI is 1023342755, taxonomy code is 261QR1300X East Texas Medical Center Jacksonville physically located at 580 North Frankston Highway, Frankston TX, 75763-2654. NPI Number 1033115704 has the healthcare provider type.

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1023342755 NPI number is provided on an as is basis without warranty of any kind. 1023342755 is maintained by the National Plan & Provider Enumeration System. The contents of East Texas Medical Center Jacksonville are for informational purposes only.