East Texas Health and Wellness

NPI #1073163549 in Marshall, Texas

Provider Information

NPI Number: 1073163549
Entity Type: Organization
Organization Name: East Texas Health and Wellness
Subpart: Yes (part of a larger organization)
Parent Organization: EAST TEXAS PRECISION MEDICINE, PLLC
Primary Specialty: General Practice
Enumeration Date: Sep 17, 2019
Last Updated: Sep 17, 2019

Practice Location

Address: 1600 S WASHINGTON AVE
City: Marshall
State: Texas
ZIP Code: 75670-6852
Phone: (903) 320-3200

Authorized Official

Name: KIMBERLY D BARBOLLA, DO
Title: MANAGING MEMBER
Phone: (903) 320-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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