Advanced Surgical Associates of East Texas
NPI #1891028395 in Nacogdoches, Texas
Provider Information
- NPI Number
- 1891028395
- Entity Type
- Organization
- Organization Name
- Advanced Surgical Associates of East Texas
- Primary Specialty
- Surgery
- Enumeration Date
- Sep 15, 2009
- Last Updated
- Sep 15, 2009
Practice Location
- Address
- 617 RUSSELL BLVD
- City
- Nacogdoches
- State
- Texas
- ZIP Code
- 75965-1247
- Phone
- (936) 205-5900
Authorized Official
- Name
- DR. GREGORY DEWAYNE MCCLAIN, MD
- Title
- CEO
- Phone
- (608) 443-9420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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