John L Sawtelle Do PA

NPI #1194951517 in Trinidad, Texas

Provider Information

NPI Number: 1194951517
Entity Type: Organization
Organization Name: John L Sawtelle Do PA
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jun 1, 2009
Last Updated: Jun 1, 2009

Practice Location

Address: 218 PARK ST
City: Trinidad
State: Texas
ZIP Code: 75163-6060
Phone: (903) 778-2942

Authorized Official

Name: MARY ANN HARRISON, CPC CMC
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (903) 510-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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