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NPI Code Detail

MEDICARE: SATIR AND SATIR, PA

MEDICARE: SATIR AND SATIR, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700844867
Entity Type Code : Organization
Provider Name (Legal Business Name) : SATIR AND SATIR, PA
Provider Business Mailing Address
First Line : PO BOX 631940
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75963-1940
Country : US
Telephone Number : 936-560-9595
Fax Number : 936-462-7772
Provider Business Practice Location Address
First Line : 4942 NE STALLINGS DR
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75965-1265
Country : US
Telephone Number : 936-560-9595
Fax Number : 936-462-7772
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. CAROLYN COGBURN
Credential :
Telephone Number : 936-560-9595
Provider Enumeration Date : 05/01/2006
Last Update Date : 05/18/2010

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Directions to “SATIR AND SATIR, PA ” Practice Location

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