# INNATE HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Van Zandt Regional Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194327437
- **Authorized official:** DR. GARY D MARTIN JR. DC MD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (469) 215-3494

## Contact information

- **Practice address:** 707 N WALDRIP ST, GRAND SALINE, TX 75140-1555
- **Practice address phone:** (469) 215-3494
- **Mailing address:** PO BOX 2586, FRISCO, TX 75034-0048
- **Mailing address phone:** (469) 482-0861
- **Mailing address fax:** (469) 273-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2020
- **Last updated:** 12/21/2022