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Organization

EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES

Active
Other names
ETMC First Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIM PEARSON-WAHL (VICE PRESIDENT)
(903) 535-6890
Entity
Organization

Contact information

Practice address
1318 CLINIC DR, TYLER, TX 75701-2119
(903) 594-2497
Mailing address
PO BOX 9477, TYLER, TX 75711-9477
(903) 594-2497

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/20/2010
Last updated
04/04/2011
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