East Texas Medical Center Pittsburg

Specialty details in registry · Mt Vernon, TX

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At a glance

506 South State Hwy 37, Mt Vernon, TX 75457-0477

NPPES record updated Feb 23, 2015. Public records can lag behind changes at a practice.

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Practice location

506 South State Hwy 37
Mt Vernon, TX 75457-0477
Professional details: NPI, taxonomy & registry record
NPI1790897189
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QR1300X
Enumeration date
Aug 31, 2006
Record updated
Feb 23, 2015
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QR1300X · Primary

License reported: F4587 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

506 South State Hwy 37
Mt Vernon, TX 75457-0477
Phone
(903) 537-8222
Mailing address
PO BOX 1304

PITTSBURG, TX 756862203
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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