Deep East Texas Maternal And Family Health, PA
Family Medicine in Jasper, TX. Organization (NPI-2).
NPI number1699863092
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1699863092
- Entity type
- Organization (NPI-2)
- Legal business name
- Deep East Texas Maternal And Family Health, PA
- Organization subpart
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Complete Healthcare Services Rural Health Hemphill (Other Name)
Practice location
Hwy 83 WJasper, TX 75951
Phone 409-787-4765 · Fax 409-787-4489
Mailing address
315 W HoustonJasper, TX 75951
Fax 409-383-1054
Authorized official
Martin E Gilliland
President
4093843430
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