Organization
PINEY WOODS ER LLC
Active
Other names
Excel ER
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KWON M.D. (OWNER)
(903) 509-0911
Entity
Organization
Contact information
Practice address
6718 S BROADWAY AVE, TYLER, TX 75703-4730
(903) 509-0911
Mailing address
6718 S BROADWAY AVE, TYLER, TX 75703-4730
(903) 509-0911
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
12/30/2015
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