East Texas Medical Alliance Llp
Pediatrics
East Texas Medical Alliance Llp is a Palestine, Texas based Pediatric center with medical specialization in
General Pediatrics. East Texas Medical Alliance Llp is doing business as
First Medchoice.
It is located at
111 Medical Drive, Palestine, Texas - 75801-4781. They can be contacted on phone at
903-723-8554 and fax number 903-723-2054.
NPI number (Unique professional ID) for East Texas Medical Alliance Llp is
1003935172 which was assigned by NPPES on 28 Mar, 2007 and it was last updated on 02 Dec, 2011.
East Texas Medical Alliance Llp is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
East Texas Medical Alliance Llp basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | East Texas Medical Alliance Llp |
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| Other Name : | First Medchoice |
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Business Address:
East Texas Medical Alliance Llp address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 111 Medical Drive
Palestine, TX, 75801-4781
United States |
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| Phone Number : | 903-723-8554 |
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| Fax Number : | 903-723-2054 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003935172 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 28 Mar, 2007 |
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| Last Updated On : | 02 Dec, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Robertgene Blackwell |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | MANAGING PARTNER |
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| Phone Number : | 903-723-8554 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Texas Medical Alliance Llp are as mentioned. Primary taxonomy code for East Texas Medical Alliance Llp is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207V00000X | Obstetrics & Gynecology | No | | |
| 207Y00000X | Otolaryngology | No | | |
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of East Texas Medical Alliance Llp such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00R18C | Other | TX | BLUE CROSS GROUP NUMBER |
| CQ2287 | Other | TX | RR MEDICARE NUMBER |
| 111610501 | MEDICAID | TX | |
| 111610503 | Other | TX | EPSDT GROUP NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 115 Medical Drive
Palestine, TX, 75801-4781
United States |
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| Phone Number : | 903-723-8554 |
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| Fax Number : | 903-723-2054 |
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Business Location:
Patients can refer following map for directions to
East Texas Medical Alliance Llp practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.