Provider Demographics
NPI:1851842736
Name:NAVARRO HOSPITAL LP
Entity Type:Organization
Organization Name:NAVARRO HOSPITAL LP
Other - Org Name:NAVARRO PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-465-3334
Mailing Address - Street 1:301 HOSPITAL DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-2471
Mailing Address - Country:US
Mailing Address - Phone:903-641-4800
Mailing Address - Fax:903-641-4822
Practice Address - Street 1:301 HOSPITAL DR
Practice Address - Street 2:SUITE 150
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-2471
Practice Address - Country:US
Practice Address - Phone:903-641-4800
Practice Address - Fax:903-641-4822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty