Northeast Texas Orthopaedic Spcecialists PA
Specialist in Kilgore, TX. Organization (NPI-2).
NPI number1962525477
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1962525477
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Texas Orthopaedic Spcecialists PA
- Organization subpart
- No
- Enumeration date
- Apr 9, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1718 S Henderson BlvdSuite 4
Kilgore, TX 75662-3566
Phone 903-983-2556 · Fax 903-983-3115
Mailing address
1718 S Henderson BlvdSuite 4
Kilgore, TX 75662-3566
Phone 903-983-2556 · Fax 903-983-3115
Authorized official
Karen Latham Waldo
Office Manager
9039832556
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