Organization
LION STAR NACOGDOCHES HOSPITAL, LLC
Active
Other names
Nacogdoches Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY BOYD CPA (CHIEF FINANCIAL OFFICER)
(936) 568-8525
Entity
Organization
Contact information
Practice address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 564-4611
Mailing address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 564-4611
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
10/26/2022
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