Organization
INNATE HOSPITAL LLC
Active
Organization
INNATE HOSPITAL LLC
Active
Other names
VAN ZANDT REGIONAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D MARTIN DC MD (EXECUTIVE DIRECTOR)
(469) 215-3494
Entity
Organization
Contact information
Practice address
707 N WALDRIP ST, GRAND SALINE, TX 75140-1555
(903) 913-6303
Mailing address
707 N WALDRIP ST, GRAND SALINE, TX 75140-1555
(903) 913-6303
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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