# MED TRAVELERS

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

## Provider details

- **NPI number:** 1497007157
- **Authorized official:** MRS. JACQUELINE MARIE CAMPOS ASSOCIATES OF SCIENC (COTA)
- **Authorized official phone:** (936) 933-7719

## Contact information

- **Practice address:** 415 MONTROSE ST, LUFKIN, TX 75901-0439
- **Practice address phone:** (936) 933-7719
- **Mailing address:** 415 MONTROSE ST, LUFKIN, TX 75901-0439
- **Mailing address phone:** (936) 933-7719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 210374 | TX | Yes |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 10/04/2012