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Organization
MARK L ELDORE MD PLLC
Active
Organization
MARK L ELDORE MD PLLC
Active
Other names
ATHENS WOMEN'S AND CHILDREN'S CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L ELDORE MD (OWNER)
(903) 675-7376
Entity
Organization
Contact information
Practice address
824 SOUTHPARK CIRCLE, ATHENS, TX 75752
(903) 675-7376
(903) 677-4234
Mailing address
824 SOUTHPARK CIRCLE, ATHENS, TX 75752
(903) 675-7376
(903) 677-4234
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
08/03/2006
Last updated
09/29/2016
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