Organization
TH HEALTHCARE, LTD
Active
Other names
Nacogdoches Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY SLACK (CFO)
(936) 568-3103
Entity
Organization
Contact information
Practice address
4920 NE STALLINGS DR, NACOGDOCHES, TX 75965-1254
(936) 569-9481
(936) 568-3400
Mailing address
PO BOX 849788, DALLAS, TX 75284-9788
(936) 569-9481
(936) 568-3400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130605205
—
TX
Enumeration date
07/19/2005
Last updated
05/06/2025
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