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Organization

MEMORIAL SPECIALTY HOSPITAL

Active
Other names
Memorial Specialty Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DUANE MILLER (BUSINESS OFFICE DIRECTOR)
(936) 634-8111
Entity
Organization

Contact information

Practice address
1201 FRANK STREET, STE D, LUFKIN, TX 75904
(936) 634-8111
(936) 639-7976
Mailing address
PO BOX 1447, MEMORIAL SPECIALTY HOSPITAL, LUFKIN, TX 75902-1447
(936) 634-8111
(936) 639-7976

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
000691
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H045017878
TX
Enumeration date
12/21/2005
Last updated
06/12/2018
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