East Texas Medical Alliance LLP

NPI #1003935172 in Palestine, Texas

Provider Information

NPI Number: 1003935172
Entity Type: Organization
Organization Name: East Texas Medical Alliance LLP
Primary Specialty: Pediatrics
Enumeration Date: Mar 28, 2007
Last Updated: Dec 2, 2011

Practice Location

Address: 111 MEDICAL DRIVE
City: Palestine
State: Texas
ZIP Code: 75801-4781
Phone: (903) 723-8554

Authorized Official

Name: DR. ROBERT GENE BLACKWELL, M.D.
Title: MANAGING PARTNER
Phone: (903) 723-8554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Otolaryngology	207Y00000X
Pediatrics	208000000X	Primary

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