Organization
MEMORIAL MEDICAL CENTER OF EAST TEXAS
Active
Parent organization
MEMORIAL MEDICAL CENTER OF EAST TEXAS
Other names
MMCET Anesthesia Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL MEDICAL CENTER OF EAST TEXAS
Authorized official
RICHARD AHRENS (CFO MEMORIAL MEDICAL CENTER EAST TX)
(936) 639-3036
Entity
Organization
Contact information
Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 639-3036
Mailing address
PO BOX 1447, LUFKIN, TX 75902-1447
(936) 639-3036
(936) 639-3064
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H24N
BCBS
TX
Enumeration date
06/07/2006
Last updated
03/06/2008
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