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Contact Information

ADRA ETHO
1201 W FRANK AVE
LUFKIN, TX75904-3357
 Phone: 936-637-6415
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for ADRA ETHO

NPI Number 1265618953
LBN Legal business name ADRA ETHO
Authorized official DARWIN CLARK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2008
Last updated 01/14/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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