| Utmb Faculty Group Practice | |
|
206 Mimms Ave Nacogdoches TX 75961-5028 | |
| (936) 560-0515 | |
| (936) 560-1636 |
| Full Name | Utmb Faculty Group Practice |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 206 Mimms Ave, Nacogdoches, Texas |
| Authorized Official Name and Position | Cynthia L. Smith (DIRECTOR) |
| Authorized Official Contact | 4097722222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utmb Faculty Group Practice P O Box 4797-710 Houston TX 77210-4797 Ph: (409) 772-2222 | Utmb Faculty Group Practice 206 Mimms Ave Nacogdoches TX 75961-5028 Ph: (936) 560-0515 |
| NPI Number | 1760423974 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 09/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760423974 | NPI | - | NPPES |
| 109372602 | Medicaid | TX |
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