East Texas Medical Center Trinity

NPI #1467787648 in Trinity, Texas

Provider Information

NPI Number: 1467787648
Entity Type: Organization
Organization Name: East Texas Medical Center Trinity
Primary Specialty: Family Medicine
Enumeration Date: Oct 6, 2009
Last Updated: Dec 2, 2009

Practice Location

Address: 317 PROSPECT DRIVE
City: Trinity
State: Texas
ZIP Code: 75862
Phone: (936) 744-1100

Authorized Official

Name: MRS. DANA LAMB
Title: BUSINESS OFFICE DIRECTOR
Phone: (936) 546-3810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
Pediatrics	208000000X
Surgery	208600000X
Family Medicine	207Q00000X	Primary

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