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East Texas Physcian'S Alliance

Family Medicine in Palestine, TX. Organization (NPI-2).

NPI number1881749901
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1881749901
Entity type
Organization (NPI-2)
Legal business name
East Texas Physcian'S Alliance
Organization subpart
No
Enumeration date
Jan 25, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineL9838TXYes

Practice location

112 E Oak St
Palestine, TX 75801-2800

Phone 903-731-4700 · Fax 903-731-4699

Mailing address

Po Box 4550
Palestine, TX 75802-4550

Phone 903-731-4700 · Fax 903-731-4699

Authorized official

Alec Law
Managing Partner
9037238800

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