ITASCA HEALING MEDICAL PRACTICE

NACOGDOCHES, TX
NPI1023867546
Entity TypeOrganization
Authorized ContactSUZANNA ITASCA FULLER
Owner
936-250-2062
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-05-16
Last Update Date2024-10-02
Business Address
ITASCA HEALING MEDICAL PRACTICE
223 KING ST
NACOGDOCHES, TX 75961-4421
Phone number: 936-622-0552
Mailing Address
ITASCA HEALING MEDICAL PRACTICE
223 KING ST
NACOGDOCHES, TX 75961-4421
Phone number: 936-622-0552
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