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Organization

FANNIN COUNTY HOSPITAL AUTORITY

Active
Parent organization
FANNIN COUNTY HOSPITAL AUTHORITY
Other names
PARIS TOTAL FOOT CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
FANNIN COUNTY HOSPITAL AUTHORITY
Authorized official
TIFFANY CAMP (DIRECTOR, QUALITY)
(903) 640-7301
Entity
Organization

Contact information

Practice address
580 DESHONG DR, PARIS, TX 75460-9318
(903) 706-5035
(903) 706-5036
Mailing address
504 LIPSCOMB ST, BONHAM, TX 75418-4028
(903) 583-8585
(903) 640-7600

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1
NONE
Enumeration date
02/22/2018
Last updated
02/22/2018
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