Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palestine Principal Healthcare Limited Partnership

Organization Anesthesiology Physician · NPI 1164572830

Palestine Principal Healthcare Limited Partnership is an Anesthesiology Physician in Palestine, Texas. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
7

Practice location Address checks out

2900 S Loop 256
Palestine, TX 75801
Phone: (903) 731-1000
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1164572830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnetta Traylor — Administrator · (502) 596-6063
NPI enumeratedJanuary 12, 2007
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address680 S 4th St # Kh3, Louisville, KY 40202-2407

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