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Organization

EAST TEXAS BABTIST UNIVERSITY

Active
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Organization

EAST TEXAS BABTIST UNIVERSITY

Active
Other names
ETBU Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MARCUS HOLIDAY (HEAD TRAINER FOR SPORTS MEDICINE)
(903) 923-2237
Entity
Organization

Contact information

Practice address
1 TIGER DR, MARSHALL, TX 75670-1412
(903) 923-2237
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(800) 555-9073
(972) 367-3452

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary

Other

Enumeration date
09/11/2014
Last updated
09/11/2014
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