Organization
CHRISTUS TRINITY CLINIC - CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAGG SANFORD MD (CHIEF OF CARDIOLOGY)
(903) 606-7000
Entity
Organization
Contact information
Practice address
703 S FLEISHEL AVE, SUITE 4000, TYLER, TX 75701-2015
(903) 606-7000
Mailing address
703 S FLEISHEL AVE, SUITE 4000, TYLER, TX 75701-2015
(903) 606-7000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP132260
TX
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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