Organization
NORTHEAST TEXAS ORTHOPAEDIC SPCECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LATHAM WALDO (OFFICE MANAGER)
(903) 983-2556
Entity
Organization
Contact information
Practice address
1718 S HENDERSON BLVD, SUITE 4, KILGORE, TX 75662-3566
(903) 983-2556
(903) 983-3115
Mailing address
1718 S HENDERSON BLVD, SUITE 4, KILGORE, TX 75662-3566
(903) 983-2556
(903) 983-3115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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