Organization
EAST TEXAS ID ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDEEP BAINS (MANAGER)
(936) 255-7330
Entity
Organization
Contact information
Practice address
505 S JOHN REDDITT DR, LUFKIN, TX 75904-3120
(936) 634-8311
Mailing address
PO BOX 150456, LUFKIN, TX 75915-0456
(936) 255-7330
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
06/30/2025
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