Organization · Type 2 NPI

Northeast Texas Oncologic and Reconstructive Surgery PA

Specialist · Mount Pleasant, TX

NPI number 1164622833 Active

Practice location

301 W 18th St Ste 101
Mount Pleasant, TX 75455-2370

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XTEMPORARY (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

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About NPI 1164622833

Northeast Texas Oncologic and Reconstructive Surgery PA's National Provider Identifier is 1164622833, issued on Jul 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mount Pleasant, TX. The record was last updated on Jul 20, 2007.