Organization
DETAR HOSPITAL NAVARRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LANA COOLEY (DIRECTOR, MEDICAL STAFF DEVELOPMENT)
(361) 788-6106
Entity
Organization
Contact information
Practice address
506 E SAN ANTONIO ST, VICTORIA, TX 77901-6060
(361) 788-6106
(361) 788-6114
Mailing address
9111 LAKES AT 610 DR APT 523, HOUSTON, TX 77054-2413
(832) 640-3103
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N9014
TX
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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