Organization
GAINESVILLE HOSPITAL DISTRICT
Active
Other names
NTMC Occupational Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH B BACUS FACHE (CEO)
(940) 612-8603
Entity
Organization
Contact information
Practice address
301 N GRAND AVE, GAINESVILLE, TX 76240-4321
(940) 665-0736
(940) 668-8637
Mailing address
1900 HOSPITAL BLVD, GAINESVILLE, TX 76240-2002
(940) 665-1751
(940) 612-8601
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
TX
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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