Organization
ESS OF NACOGDOCHES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON WEISS (PRESIDENT)
(866) 931-8882
Entity
Organization
Contact information
Practice address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 564-4611
Mailing address
17304 PRESTON RD, DALLAS, TX 75252-5618
(866) 931-8882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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