EAST TEXAS FUNCTIONAL MEDICINE CENTER, LLC

TYLER, TX
NPI1245847672
Doing Business AsINTEGRATIVE HEALTH MATTERS
Entity TypeOrganization
Authorized ContactGUY OTIS DANIELSON
Md/Owner
903-595-8077
Organization Subpart ?No
Primary Taxonomy2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
Additional Taxonomies207R00000X Internal Medicine
Enumeration Date2020-09-29
Last Update Date2020-12-07
Business Address
EAST TEXAS FUNCTIONAL MEDICINE CENTER, LLC
419 WSW LOOP 323 STE 400
TYLER, TX 75701-7063
Phone number: 903-595-8077
Mailing Address
EAST TEXAS FUNCTIONAL MEDICINE CENTER, LLC
419 WSW LOOP 323 STE 400
TYLER, TX 75701-7063
Phone number: 903-595-8077