Organization
MED TRAVELERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE MARIE CAMPOS ASSOCIATES OF SCIENC (COTA)
(936) 933-7719
Entity
Organization
Contact information
Practice address
415 MONTROSE ST, LUFKIN, TX 75901-0439
(936) 933-7719
Mailing address
415 MONTROSE ST, LUFKIN, TX 75901-0439
(936) 933-7719
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
210374
TX
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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