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Organization
LION STAR NACOGDOCHES HOSPITAL, LLC
Active
Organization
LION STAR NACOGDOCHES HOSPITAL, LLC
Active
Other names
Nacogdoches Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY BOYD CPA (CHIEF FINANCIAL OFFICER)
(936) 568-8525
Entity
Organization
Contact information
Practice address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 564-4611
Mailing address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 564-4611
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
06/30/2021
Last updated
10/26/2022
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