Organization
EAST TEXAS HEALTH AND WELLNESS
Active
Parent organization
EAST TEXAS PRECISION MEDICINE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TEXAS PRECISION MEDICINE, PLLC
Authorized official
KIMBERLY D BARBOLLA DO (MANAGING MEMBER)
(903) 320-3200
Entity
Organization
Contact information
Practice address
1600 S WASHINGTON AVE, MARSHALL, TX 75670-6852
(903) 320-3200
(903) 471-8655
Mailing address
PO BOX 45, MARSHALL, TX 75671-0045
(903) 320-3200
(903) 471-8655
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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