University Drive Health Center, P.a. | |
932 N University Dr Nacogdoches TX 75961-4643 | |
(936) 564-1188 | |
(936) 560-4137 |
Full Name | University Drive Health Center, P.a. |
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Speciality | General Practice |
Location | 932 N University Dr, Nacogdoches, Texas |
Authorized Official Name and Position | William Wayne Hairston (OWNER/ PRESIDENT) |
Authorized Official Contact | 9365641188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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University Drive Health Center, P.a. 932 N University Dr Nacogdoches TX 75961-4643 Ph: (936) 564-1188 | University Drive Health Center, P.a. 932 N University Dr Nacogdoches TX 75961-4643 Ph: (936) 564-1188 |
NPI Number | 1649289711 |
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Provider Enumeration Date | 08/06/2006 |
Last Update Date | 07/06/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649289711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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