Organization
TEXAS SPECIALTY PHYSICIANS
Active
Other names
Palestine Medical Group: Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (ADMINISTRATOR)
(502) 596-6063
Entity
Organization
Contact information
Practice address
4000 S LOOP 256, PALESTINE, TX 75801-8467
(903) 731-5442
(903) 723-3325
Mailing address
4002 S LOOP 256 STE A, PALESTINE, TX 75801-8492
(903) 731-5442
(903) 723-3325
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/12/2025
Last updated
03/12/2026
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