# KNOTTY PINES MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Piney Woods Perinatal Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902637556
- **Authorized official:** CHRISTIE WALKER MD (OWNER)
- **Authorized official phone:** (903) 920-0900

## Contact information

- **Practice address:** 1212 CLINIC DR, TYLER, TX 75701-2117
- **Practice address phone:** (903) 920-0900
- **Practice address fax:** (903) 920-0894
- **Mailing address:** 1212 CLINIC DR, TYLER, TX 75701-2117
- **Mailing address phone:** (903) 920-0900
- **Mailing address fax:** (903) 920-0894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2024
- **Last updated:** 08/13/2024