Northeast Texas Pediatrics, Pllc

NPI #1215362710 in Mount Pleasant, Texas

Provider Information

NPI Number: 1215362710
Entity Type: Organization
Organization Name: Northeast Texas Pediatrics, Pllc
Primary Specialty: Pediatrics
Enumeration Date: Sep 4, 2013
Last Updated: Sep 4, 2013

Practice Location

Address: 2001 MULBERRY AVE
City: Mount Pleasant
State: Texas
ZIP Code: 75455-2362
Phone: (903) 572-9823

Authorized Official

Name: DR. GERALD A STAGG, M.D.
Title: PRESIDENT
Phone: (903) 572-9823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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