Organization · Type 2 NPI

East Texas Medical Center Crockett

Ambulatory Surgical Clinic/Center · Crockett, TX

NPI number 1619941291 Active

Practice location

1100 E Loop 304
Crockett, TX 75835-1810

Call (936) 546-3862 Map

Fax (936) 546-3816

Mailing address

PO Box 1129
Crockett, TX 75835-1129

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1619941291

East Texas Medical Center Crockett's National Provider Identifier is 1619941291, issued on Feb 13, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Crockett, TX. The record was last updated on Aug 22, 2020.