Organization
EAST TEXAS MEDICAL CENTER TRINITY
Active
Other names
ETMC Trinity Pro Fees
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA LAMB (BUSINESS OFFICE DIRECTOR)
(936) 546-3810
Entity
Organization
Contact information
Practice address
317 PROSPECT DRIVE, TRINITY, TX 75862
(936) 744-1100
Mailing address
P O BOX 3169, 315 PROSPECT DRIVE, TRINITY, TX 75862-3169
(936) 594-3595
(936) 594-0491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
10/06/2009
Last updated
12/02/2009
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