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Organization
EAST TEXAS MEDICAL CENTER SPECIALTY HOSPITAL
Active
Organization
EAST TEXAS MEDICAL CENTER SPECIALTY HOSPITAL
Active
Other names
East Texas Medical Center Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE L HOWARD (VP-COO)
(903) 596-3258
Entity
Organization
Contact information
Practice address
1000 S BECKHAM AVE, 5TH FLOOR, TYLER, TX 75701-1908
(903) 596-3258
(903) 596-3006
Mailing address
701 OLYMPIC PLAZA CIR, ADMINISTRATION, TYLER, TX 75701-1950
(903) 596-3258
(903) 596-3006
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
000777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020812603
—
TX
Enumeration date
03/20/2007
Last updated
09/23/2010
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