Organization
EAST TEXAS MEDICAL CENTER REHABILITATION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE L HOWARD (VP-COO)
(903) 596-3258
Entity
Organization
Contact information
Practice address
701 OLYMPIC PLAZA CIR, TYLER, TX 75701-1950
(903) 596-3258
(903) 596-3006
Mailing address
701 OLYMPIC PLAZA CIR, TYLER, TX 75701-1950
(903) 596-3258
(903) 596-3006
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
000799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021177301
—
TX
Enumeration date
03/20/2007
Last updated
09/23/2010
Update your record
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