| NPI | 1053711804 |
|---|---|
| Doing Business As | NACOGDOCHES MEMORIAL PROFESSIONAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RICHARD WALLACE CFO 936-568-8426 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 367A00000X Advanced Practice Midwife | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2018-05-25 |