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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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