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Organization

EAST TEXAS PEDIATRICS

Active
Parent organization
GOOD SHEPHERD MEDICAL CENTER MARSHALL
Organization subpart
Yes

Provider details

NPI number
Legal business name
GOOD SHEPHERD MEDICAL CENTER MARSHALL
Authorized official
MISTY SPROUSE (DIRECTOR)
(903) 927-6264
Entity
Organization

Contact information

Practice address
618 S GROVE ST STE 100, MARSHALL, TX 75670-5294
(903) 927-6611
(903) 927-6230
Mailing address
PO BOX 1325, MARSHALL, TX 75671-1325
(903) 927-6611
(903) 927-6230

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/12/2010
Last updated
02/12/2010
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