institution
East Texas Cardiovascular Labs Llc
Ambulatory Surgical Clinic/Center in Nacogdoches, Texas
NPI 1003835265

East Texas Cardiovascular Labs Llc is an Ambulatory Surgical Clinic/Center based in Nacogdoches, TX and is specialized in Ambulatory Surgical. East Texas Cardiovascular Labs Llc practices in Nacogdoches, TX. The NPI Number for East Texas Cardiovascular Labs Llc is 1003835265 and holds a License No. 008031 (Texas).

The current practice location address for East Texas Cardiovascular Labs Llc is 1303 N Mound St, Nacogdoches, TX and can be reached out via phone at 936-560-1844 and via fax at 936-564-5145.

Location: 1303 N Mound St, Nacogdoches, TX, 75961-4030
institution
Provider Profile Details
NPI Number
1003835265
Provider Name
East Texas Cardiovascular Labs Llc
Credential
Provider Entity Type
Organization
Address
1303 N Mound St, Nacogdoches, TX, 75961-4030
Phone Number
936-560-1844
Fax Number
936-564-5145
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
HH058A 01 TX BLUE CROSS PROVIDER #
171256401 05 TX
institution
Provider Business Practice Location Address Details
Address
1303 N Mound St
City
State
Zip
75961-4030
Phone Number
936-560-1844
Fax Number
936-564-5145
person
Provider Business Mailing Address Details
Address
1303 N Mound St
City
State
Zip
75961-4030
Phone Number
936-560-1844
Fax Number
936-564-5145
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
008031 (Texas)
Definition
Definition to come...
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