Memorial Medical Center of East Texas

NPI #1538114442 in Lufkin, Texas

Provider Information

NPI Number: 1538114442
Entity Type: Organization
Organization Name: Memorial Medical Center of East Texas
Primary Specialty: Specialist
Enumeration Date: May 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1201 W FRANK AVE
City: Lufkin
State: Texas
ZIP Code: 75904-3357
Phone: (936) 631-3474

Authorized Official

Name: MS. FONDA R SULLIVAN
Title: INSURANCE SUPERVISOR
Phone: (936) 631-3474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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