Organization
ETMC PHYSICIAN GROUP INC.
Active
Other names
UT Health East Texas Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (EVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
1000 E 5TH ST STE 400, TYLER, TX 75701-3362
(903) 593-1749
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
(615) 296-3000
(615) 296-6227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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