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Organization

PALESTINE HMS SLEEP LAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY WAYNE HORN (MANAGER)
(903) 675-9360
Entity
Organization

Contact information

Practice address
101 MOORE DR, PALESTINE, TX 75801-5909
(903) 675-9360
(903) 675-1570
Mailing address
PO BOX 512, ATHENS, TX 75751-0512
(903) 675-9360
(903) 675-1570

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PL 7183
BCBS
TX
Enumeration date
01/16/2008
Last updated
01/16/2008
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