Provider Demographics
NPI:1285935445
Name:EAST TEXAS WOMEN'S TOUCH OBSTETRICS & GYNECOLOGY PLLC
Entity type:Organization
Organization Name:EAST TEXAS WOMEN'S TOUCH OBSTETRICS & GYNECOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:H
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:936-715-5575
Mailing Address - Street 1:2708 N UNIVERSITY DR
Mailing Address - Street 2:STE 101
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-2928
Mailing Address - Country:US
Mailing Address - Phone:936-715-5575
Mailing Address - Fax:936-462-8680
Practice Address - Street 1:1018 N MOUND ST STE 205
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4434
Practice Address - Country:US
Practice Address - Phone:936-715-5575
Practice Address - Fax:936-462-8680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty