Organization · Type 2 NPI

East Texas Medical Center Gilmer

Rural Health Clinic/Center · Daingerfield, TX

NPI number 1619124658 Active

Practice location

1402 Linda Dr
Daingerfield, TX 75638-2132

Call (903) 841-7100 Map

Fax (903) 841-7286

Mailing address

PO Box 1237
Gilmer, TX 75644-1237

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

Mother Frances Hospital-WinnsboroRural Health Clinic/Center Daingerfield, TX NPI 1548102924
Titus County Hospital DistrictRural Health Clinic/Center Daingerfield, TX NPI 1013538321
Autumn Marie Barnard, FNPFamily Nurse Practitioner Daingerfield, TX NPI 1073153417

Other rural health clinic/center providers in Daingerfield

See all in Daingerfield →

NPI record

NPI: 1619124658
Entity type: Organization (Type 2)
Issued: Aug 21, 2008
Last updated: Oct 27, 2008
Status: Active
Subpart: Yes of East Texas Medical Center

Other names

<unavail>
Etmc Physicans Clinic · other name

Authorized official

Mr. Thomas M O'Gorman
Regional Chief Financial Officer
(903) 856-4520

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619124658

East Texas Medical Center Gilmer's National Provider Identifier is 1619124658, issued on Aug 21, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Daingerfield, TX. The record was last updated on Oct 27, 2008.