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Organization

MOTHER FRANCES HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA TILLMAN (CVOANDMEDICALSTAFF DIRECTOR)
(903) 531-5784
Entity
Organization

Contact information

Practice address
2990 N BROADWAY AVE, TYLER, TX 75702-2149
(903) 593-1892
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083768401
TX
05
083768402
TX
Enumeration date
03/13/2007
Last updated
10/26/2010
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