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Organization
EAST TEXAS MEDICAL CENTER TRINITY
Active
Organization
EAST TEXAS MEDICAL CENTER TRINITY
Active
Other names
ETMC Trinity Pro Fees
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA LAMB (BUSINESS OFFICE DIRECTOR)
(936) 546-3810
Entity
Organization
Contact information
Practice address
317 PROSPECT DRIVE, TRINITY, TX 75862
(936) 744-1100
Mailing address
P O BOX 3169, 315 PROSPECT DRIVE, TRINITY, TX 75862-3169
(936) 594-3595
(936) 594-0491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
10/06/2009
Last updated
12/02/2009
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