# LINDA DEMANOU

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHOICE SUPPORTIVE CARE TEAM INC.
- **Other names:** Choice Supportive Care Team
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972172922
- **Legal business name:** CHOICE SUPPORTIVE CARE TEAM INC.
- **Authorized official:** LINDA DEMANOU NP (NP)
- **Authorized official phone:** (240) 701-6437

## Contact information

- **Practice address:** 4293 KINSEY DR, TYLER, TX 75703-1004
- **Practice address phone:** (903) 592-5670
- **Practice address fax:** (888) 960-2797
- **Mailing address:** 9375 CHISHOLM TRL, TYLER, TX 75703-0411
- **Mailing address phone:** (903) 521-0385
- **Mailing address fax:** (888) 960-2797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2021
- **Last updated:** 06/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AP145557 | STATE LICENSE | TX |