Organization
PULMONARY MEDICINE OF NACOGDOCHES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOYD GEORGE WHITLEY M.D. (OWNER)
(936) 205-5960
Entity
Organization
Contact information
Practice address
4848 NE STALLINGS DR, STE. 100, NACOGDOCHES, TX 75965-1239
(936) 205-5960
Mailing address
4848 NE STALLINGS DR, STE. 100, NACOGDOCHES, TX 75965-1239
(936) 205-5960
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
F6346
TX
Other
Enumeration date
09/01/2010
Last updated
07/21/2011
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