East Texas Medical Center Henderson

NPI #1083848352 in Henderson, Texas

Provider Information

NPI Number
1083848352
Entity Type
Organization
Organization Name
East Texas Medical Center Henderson
Subpart
Yes (part of a larger organization)
Parent Organization
EAST TEXAS MEDICAL CENTER HENDERSON
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
May 14, 2009
Last Updated
Jul 19, 2011

Practice Location

Address
300 WILSON ST
State
Texas
ZIP Code
75652-5956
Phone
(903) 657-7541

Authorized Official

Name
MR. MARK S LEITNER
Title
ADMINISTRATOR
Phone
(903) 655-3616

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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