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Organization
OBSTETRICS & GYNECOLOGY ASSOCIATES OF EAST TEXAS
Active
Organization
OBSTETRICS & GYNECOLOGY ASSOCIATES OF EAST TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G BLACKWELL M.D. (MANAGING PARTNER)
(903) 723-8554
Entity
Organization
Contact information
Practice address
115 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 723-8554
(903) 723-2054
Mailing address
115 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 723-8554
(903) 723-2054
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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