# EAST TEXAS FAMILY MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205974417
- **Authorized official:** DANNY R ALLISON (PRACTICE MGR)
- **Authorized official phone:** (903) 723-8533

## Contact information

- **Practice address:** 4201 S LOOP 256, PALESTINE, TX 75801-8476
- **Practice address phone:** (903) 723-8533
- **Practice address fax:** (903) 723-5190
- **Mailing address:** 4201 S LOOP 256, PALESTINE, TX 75801-8476
- **Mailing address phone:** (903) 723-8533
- **Mailing address fax:** (903) 723-5190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 05/20/2008