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Organization
ST. ALYSSA MEDICAL CENTER
Active
Organization
ST. ALYSSA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L. BISHOP CLINIC DIRECTOR (CLINIC DIRECTOR)
(936) 645-1586
Entity
Organization
Contact information
Practice address
2805 NORTH ST STE E, NACOGDOCHES, TX 75965-2800
(936) 205-3171
(936) 205-3174
Mailing address
PO BOX 635312, NACOGDOCHES, TX 75963
(936) 645-1586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
01/31/2017
Last updated
11/28/2022
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