MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Surgery Yellow Pages
Lufkin, Texas
Provider NPI: 1396746129
Organization Information:Organization Name: MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Practice Location:
1201 W FRANK LUFKIN, TX 75904 US
Tel: 936-634-8111 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1201 W FRANK LUFKIN, TX 75904 US
Tel: 936-634-8111 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TX | 000129 |
Y | 282NR1301X | Hospitals General Acute Care Hospital | TX | 000129 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | HH0426 | TX | 01 |
139172412 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin