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Organization
EAST TEXAS INFECTIOUS DISEASE CONSULTANTS, PLLC
Active
Organization
EAST TEXAS INFECTIOUS DISEASE CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL CONOVER (ADMINISTRATOR)
(903) 592-4473
Entity
Organization
Contact information
Practice address
935 S BAXTER AVE, STE 103, TYLER, TX 75701-2245
(903) 592-4473
(903) 592-4474
Mailing address
PO BOX 131629, TYLER, TX 75713-1629
(903) 592-4473
(903) 592-4474
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
207R10200X
TX
Other
Enumeration date
07/28/2005
Last updated
04/02/2008
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