Organization
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Active
Organization
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (ADMINISTRATOR)
(502) 596-6063
Entity
Organization
Contact information
Practice address
2900 SOUTH LOOP 256, PALESTINE, TX 75801
(903) 731-1000
Mailing address
680 S 4TH ST # KH3, LOUISVILLE, KY 40202-2407
(502) 596-6063
(502) 212-8481
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
01/12/2007
Last updated
06/11/2025
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