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General NPI Number Information
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NPI Number | 1649226879
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Entity Type | Organization
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Legal Business Name | MOTHER FRANCES HOSPITAL
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 214 E HOUSTON ST
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City | TYLER
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State | TX
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Zip | 75702-8100
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Country | US
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Telephone | 903-535-9041
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Fax | 903-533-0726
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Provider Business Mailing Address
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Address Line | PO BOX 841656
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City | DALLAS
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State | TX
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Zip | 75284
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Country | US
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Telephone | 903-531-5000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR CENTRAL CREDENTIALING AND
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Name | TINA M TILLMAN
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Credential | CPCS CPMSM
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Telephone | 903-531-5784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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