Piney Woods Er Llc

NPI 1215325642 - Clinic/Center - 261QE0002X

NPI Details
NPI 1215325642
Enumeration Date 01/08/2015
Last Updated 12/30/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CHRISTOPHER CHRISTOPHER
Position OWNER
Phone (903) 509-0911
Fax
Practice Location
6718 S BROADWAY AVE
TYLER TX, 75703-4730, US
Phone (903) 509-0911
Fax
Business Location
6718 S BROADWAY AVE
TYLER TX, 75703-4730, US
Phone (903) 509-0911
Fax
Toxanomy
Taxonomy Code 261QE0002X
License State
License Number
Remove 1215325642 NPI Number
 

According to our database, Piney Woods Er Llc NPI is 1215325642, taxonomy code is 261QE0002X Piney Woods Er Llc physically located at 6718 S Broadway Ave, Tyler TX, 75703-4730. NPI Number 1033115704 has the healthcare provider type.

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1215325642 NPI number is provided on an as is basis without warranty of any kind. 1215325642 is maintained by the National Plan & Provider Enumeration System. The contents of Piney Woods Er Llc are for informational purposes only.