Organization · Type 2 NPI

East Texas Border Health Clinic

Federally Qualified Health Center (FQHC) · Marshall, TX

NPI number 1780295741 Active

Practice location

705 S Grove St
Marshall, TX 75670-5220

Call (903) 472-7307 Map

Fax (903) 472-7309

Mailing address

PO Box 1326
Marshall, TX 75671-1326

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Gary Reed Brouillette, FNPFamily Nurse Practitioner Marshall, TX NPI 1780044834

Other federally qualified health center (fqhc) providers in Marshall

See all in Marshall →

NPI record

NPI: 1780295741
Entity type: Organization (Type 2)
Issued: Aug 13, 2020
Last updated: Aug 28, 2023
Status: Active
Subpart: Yes of East Texas Border Health Clinic

Other names

<unavail>
Genesis Primecare · doing business as
Genesis Primecare · doing business as

Authorized official

Carla Roadcap
CEO
(903) 927-3782

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.

Is this your record? How to update it.

About NPI 1780295741

East Texas Border Health Clinic's National Provider Identifier is 1780295741, issued on Aug 13, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Marshall, TX. The record was last updated on Aug 28, 2023.