# EAST TEXAS PHYSICIAN'S ALLIANCE, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Health Systems
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205874880
- **Authorized official:** ALEC LAW M.D. (MANAGING PARTNER)
- **Authorized official phone:** (903) 723-8800

## Contact information

- **Practice address:** 3201 S LOOP 256, PALESTINE, TX 75801-6901
- **Practice address phone:** (903) 723-8800
- **Practice address fax:** (903) 723-3862
- **Mailing address:** PO BOX 4550, PALESTINE, TX 75802-4550
- **Mailing address phone:** (903) 731-4700
- **Mailing address fax:** (903) 731-4699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0378 | TX | — |
| 207Q00000X | Family Medicine Physician | F1248 | TX | — |
| 207Q00000X | Family Medicine Physician | F3795 | TX | — |
| 207Q00000X | Family Medicine Physician | G3192 | TX | — |
| 207Q00000X | Family Medicine Physician | G3793 | TX | — |
| 207Q00000X | Family Medicine Physician | J1031 | TX | — |
| 207Q00000X | Family Medicine Physician | K2184 | TX | Yes |
| 207Q00000X | Family Medicine Physician | K5007 | TX | — |
| 207Q00000X | Family Medicine Physician | K5388 | TX | — |
| 207R00000X | Internal Medicine Physician | E8773 | TX | — |
| 207R00000X | Internal Medicine Physician | F6862 | TX | — |
| 207RC0000X | Cardiovascular Disease Physician | G6215 | TX | — |
| 207RG0100X | Gastroenterology Physician | H7867 | TX | — |
| 207RP1001X | Pulmonary Disease Physician | D3839 | TX | — |
| 2085R0202X | Diagnostic Radiology Physician | E5444 | TX | — |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 07/28/2015