Organization
NORTHEAST TEXAS PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD A STAGG M.D. (PRESIDENT)
(903) 572-9823
Entity
Organization
Contact information
Practice address
2001 MULBERRY AVE, MOUNT PLEASANT, TX 75455-2362
(903) 572-9823
(903) 572-4812
Mailing address
2001 N JEFFERSON AVE, SUITE 300, MOUNT PLEASANT, TX 75455-2338
(903) 572-9823
(903) 572-4812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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