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Organization
TEXAS SPINE AND JOINT HOSPITAL, LLC
Active
Organization
TEXAS SPINE AND JOINT HOSPITAL, LLC
Active
Other names
Baylor Scott & White Texas Spine and Joint Hospital Urgent Care - Palestine, Baylor Scott & White Texas Spine & Joint Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
2211 S LOOP 256, PALESTINE, TX 75801-4701
(903) 729-0970
Mailing address
1814 ROSELAND BLVD, TYLER, TX 75701-4234
(903) 525-3330
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162459501
—
TX
Enumeration date
01/23/2017
Last updated
09/23/2020
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