East Texas Pediatrics

NPI #1942532106 in Marshall, Texas

Provider Information

NPI Number
1942532106
Entity Type
Organization
Organization Name
East Texas Pediatrics
Subpart
Yes (part of a larger organization)
Parent Organization
GOOD SHEPHERD MEDICAL CENTER MARSHALL
Primary Specialty
Pediatrics
Enumeration Date
Feb 12, 2010
Last Updated
Feb 12, 2010

Practice Location

Address
618 S GROVE ST STE 100
State
Texas
ZIP Code
75670-5294
Phone
(903) 927-6611

Authorized Official

Name
MISTY SPROUSE
Title
DIRECTOR
Phone
(903) 927-6264

Specialties & Taxonomy Codes

Specialty
Pediatrics

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