Organization
EAST TEXAS PHYSICIAN ALLICANCE
Active
Other names
Magnolia Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLEY GIBSON (ADMINSTRATOR)
(903) 731-4700
Entity
Organization
Contact information
Practice address
3201 S LOOP 256, PALESTINE, TX 75801-6901
(903) 731-4555
Mailing address
PO BOX 4550, PALESTINE, TX 75802-4550
(903) 731-4555
(903) 731-4699
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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