| Palestine Vascular Lab, Llc | |
|
300 Willow Creek Pkwy Ste 100 Palestine TX 75801-4433 | |
| (903) 729-2888 | |
| (903) 729-2781 |
| Full Name | Palestine Vascular Lab, Llc |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 300 Willow Creek Pkwy Ste 100, Palestine, Texas |
| Authorized Official Name and Position | Tony Rotondo (VP OF OPERATIONS) |
| Authorized Official Contact | 7135397477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palestine Vascular Lab, Llc 300 Willow Creek Pkwy Ste 100 Palestine TX 75801-4433 Ph: (903) 729-2888 | Palestine Vascular Lab, Llc 300 Willow Creek Pkwy Ste 100 Palestine TX 75801-4433 Ph: (903) 729-2888 |
| NPI Number | 1346896982 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 11/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346896982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
Crossroads Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4002 S Loop 256 Ste K, Palestine, TX 75801 Phone: 903-729-3015 Fax: 903-729-2738 | |
Michael S. Gorby, M.d.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 S Sycamore St, Palestine, TX 75801 Phone: 903-729-8328 Fax: 903-729-5640 | |
Magnolia Health Systems Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E Oak St, Palestine, TX 75801 Phone: 903-731-4555 Fax: 903-731-4699 | |
Magnolia Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 S Loop 256, Palestine, TX 75801 Phone: 903-723-8800 Fax: 903-723-3862 | |
East Texas Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4201 S Loop 256, Palestine, TX 75801 Phone: 903-723-8533 Fax: 903-723-5190 | |
Adams Np Medical Services, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2265 S Sycamore St, Palestine, TX 75801 Phone: 903-721-6448 | |
Brandy Ricard, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Medical Dr, Palestine, TX 75801 Phone: 903-723-3300 Fax: 903-723-3308 |