Organization
EAST TEXAS FAMILY HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALYAN KUMAR RATH M.D. (OWNER)
(409) 384-9200
Entity
Organization
Contact information
Practice address
1273 S PEACHTREE ST, JASPER, TX 75951-4915
(409) 384-9200
Mailing address
1273 S PEACHTREE ST, JASPER, TX 75951-4915
(409) 384-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
L0429
TX
208000000X
Pediatrics Physician
K1016
TX
Other
Enumeration date
03/21/2008
Last updated
09/07/2022
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