Organization
INNATE HOSPITAL LLC
Active
Other names
Van Zandt Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D MARTIN JR. DC MD (EXECUTIVE DIRECTOR)
(469) 215-3494
Entity
Organization
Contact information
Practice address
707 N WALDRIP ST, GRAND SALINE, TX 75140-1555
(469) 215-3494
Mailing address
PO BOX 2586, FRISCO, TX 75034-0048
(469) 482-0861
(469) 273-1720
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
12/21/2022
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