East Texas Clinic INC
NPI #1851045595 in Longview, Texas
Provider Information
- NPI Number
- 1851045595
- Entity Type
- Organization
- Organization Name
- East Texas Clinic INC
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Feb 11, 2022
- Last Updated
- Apr 11, 2022
Practice Location
Authorized Official
- Name
- JASON STALNAKER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (903) 759-4966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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