Organization
PINEYWOODS HEART, PLLC
Active
Other names
PINEYWOODS HEART
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH DEPPISCH M.D. (MANAGER)
(936) 205-9820
Entity
Organization
Contact information
Practice address
4800 NE STALLINGS DR, SUITE 115, NACOGDOCHES, TX 75965-1249
(936) 205-9820
Mailing address
4800 NE STALLINGS DR, SUITE 115, NACOGDOCHES, TX 75965-1249
(936) 205-9820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
N3611
TX
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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