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Organization
EAST TEXAS PHYSICIAN ALLICANCE
Active
Organization
EAST TEXAS PHYSICIAN ALLICANCE
Active
Other names
Magnolia Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLEY GIBSON (ADMINSTRATOR)
(903) 731-4700
Entity
Organization
Contact information
Practice address
3201 S LOOP 256, PALESTINE, TX 75801-6901
(903) 731-4555
Mailing address
PO BOX 4550, PALESTINE, TX 75802-4550
(903) 731-4555
(903) 731-4699
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
NULL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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