East Texas Medical Center Healthcare Associates

NPI #1619917481 in Tyler, Texas

Provider Information

NPI Number
1619917481
Entity Type
Organization
Organization Name
East Texas Medical Center Healthcare Associates
Primary Specialty
Specialist/Technologist, Pathology
Enumeration Date
Jun 8, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
904 S BECKHAM AVE
City
Tyler
State
Texas
ZIP Code
75701-1906
Phone
(903) 596-3555

Authorized Official

Name
MS. KIM PEARSON-WAHL
Title
VICE PRESIDENT
Phone
(903) 535-6898

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Pathology

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