| East Texas Omfs Trauma Consultants, Pllc | |
|
2550 Elkton Trl Tyler TX 75703-0594 | |
| (903) 534-1414 | |
| (903) 534-1415 |
| Full Name | East Texas Omfs Trauma Consultants, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2550 Elkton Trl, Tyler, Texas |
| Authorized Official Name and Position | Stephanie Lasseter (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 9035341414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Omfs Trauma Consultants, Pllc 2550 Elkton Trl Tyler TX 75703-0594 Ph: (903) 534-1414 | East Texas Omfs Trauma Consultants, Pllc 2550 Elkton Trl Tyler TX 75703-0594 Ph: (903) 534-1414 |
| NPI Number | 1447886619 |
|---|---|
| Provider Enumeration Date | 03/19/2020 |
| Last Update Date | 03/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447886619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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