Organization
EAST STATE MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STEINER (OWNER)
(337) 392-2330
Entity
Organization
Contact information
Practice address
506 S 6TH ST, LEESVILLE, LA 71446-4482
(972) 616-4702
Mailing address
1515 HERITAGE DR, SUITE 110, MCKINNEY, TX 75069-3256
(972) 616-4702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D6686
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
MD.06170R
LA
Other
Enumeration date
02/13/2014
Last updated
03/06/2014
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