Organization · Type 2 NPI

East Texas Medical Center Clarksville

Rural Health Clinic/Center · Clarksville, TX

NPI number 1104179910 Active

About NPI 1104179910

East Texas Medical Center Clarksville's National Provider Identifier is 1104179910, issued on Oct 17, 2012. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Clarksville, TX. The record was last updated on Oct 17, 2012.