Colon & Rectal Clinic of East Texas

Organization Colon & Rectal Surgery Physician · NPI 1538492038

Colon & Rectal Clinic of East Texas is a Colon & Rectal Surgery Physician in Nacogdoches, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in: TX
In the registry since: 2009

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Practice location Address checks out

617 Russell Blvd
Nacogdoches, TX 75965-1247
Phone: (936) 205-5900
Fax: (936) 205-5909

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary)	Taxonomy 208C00000X · Licence N3408 (TX)

Record details

NPI number	1538492038
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Gregory McClain — Ceo · (608) 443-9420
NPI enumerated	September 15, 2009
Last updated in NPPES	September 15, 2009
Mailing address	617 Russell Blvd, Nacogdoches, TX 75965-1247