East Texas Medical Center Crockett

NPI #1073500799 in Crockett, Texas

Provider Information

NPI Number
1073500799
Entity Type
Organization
Organization Name
East Texas Medical Center Crockett
Primary Specialty
General Acute Care Hospital
Enumeration Date
Sep 29, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
1100 E LOOP 304
State
Texas
ZIP Code
75835-1810
Phone
(936) 546-3803

Authorized Official

Name
MRS. STACY BAILEY DISE
Title
BUSINESS OFFICE MANAGER
Phone
(936) 546-3810

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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