Deep East Texas Maternal & Family Health Pa

NPI 1043307986

Information of Deep East Texas Maternal & Family Health Pa

The NPI 1043307986 is an Organization type. NPI No 1043307986 belongs to Deep East Texas Maternal & Family Health Pa. Deep East Texas Maternal & Family Health Pa specializes in Family Medicine. is practising at 315 W Houston St, Jasper, Texas 75951. You can also contact him via phone number (409) 384-3430.

Practice address located

  • 315 W Houston St
  • Jasper, Texas 75951
  • (409) 384-3430
  • (409) 384-3430

Mailling address located

  • 315 W Houston St
  • Jasper, Texas 75951
  • (409) 384-3430
  • (409) 383-0571
Deep East Texas Maternal & Family Health Pa is PECOS enrolled.
NPI No 1043307986
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes207Q00000XFamily Medicinen/aTexas
Identifier for this provider
StateIdentifierTypeIssuer
TX00R88WOtherBLUE CROSS/BLUE SHIELD
n/a00R88WMedicare PINn/a
TX127285807Medicaidn/a
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