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Organization
MOTHER FRANCES HOSPITAL
Active
Organization
MOTHER FRANCES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M TILLMAN CPCS CPMSM (DIRECTOR CENTRAL CREDENTIALING AND)
(903) 531-5784
Entity
Organization
Contact information
Practice address
5414 SOUTH BROADWAY, TYLER, TX 75703
(903) 531-1601
(903) 581-1638
Mailing address
PO BOX 841656, DALLAS, TX 75284
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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