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2400 N Stallings Dr Ste 13 Nacogdoches TX 75964-1222 | |
| (936) 205-1724 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2400 N Stallings Dr Ste 13, Nacogdoches, Texas |
| Authorized Official Name and Position | Mark Holsey (PHYSICIAN) |
| Authorized Official Contact | 9362051724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2400 N Stallings Dr Ste 13 Nacogdoches TX 75964-1222 Ph: (936) 205-1724 | 2400 N Stallings Dr Ste 13 Nacogdoches TX 75964-1222 Ph: (936) 205-1724 |
| NPI Number | 1487352688 |
|---|---|
| Provider Enumeration Date | 02/17/2023 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487352688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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