Organization · Type 2 NPI

East Texas Medical Center Carthage

Rural Health Clinic/Center · Center, TX

NPI number 1891969663 Active

Practice location

1743 Southview Cir
Center, TX 75935-9324

Call (936) 591-8888 Map

Fax (936) 591-8884

Mailing address

PO Box 549
Carthage, TX 75633-0549

Specialties and licenses

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

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

6 other providers at this address

Ajitha Chandramohan, M.d., P.a.Internal Medicine Physician Center, TX NPI 1831317510
East Texas Medical Center CarthageInternal Medicine Physician Center, TX NPI 1558693341
East Texas Medical Clinic,p.aPrimary Care Clinic/Center Center, TX NPI 1255729323
Priority Family Healthcare LLCPrimary Care Nurse Practitioner Center, TX NPI 1558983197
Ajitha Chandramohan, MDInternal Medicine Physician Center, TX NPI 1841297892
Carriston Hendricks, FNP-CFamily Nurse Practitioner Center, TX NPI 1750820296

Other rural health clinic/center providers in Center

See all in Center →

NPI record

NPI: 1891969663
Entity type: Organization (Type 2)
Issued: Apr 14, 2008
Last updated: Aug 2, 2011
Status: Active
Subpart: Yes of East Texas Medical Center Carthage

Other names

<unavail>
Etmc First Physician Clinic Center II · doing business as

Authorized official

Mr. Gary Hudson
Administrator
(903) 694-4682

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 1891969663

East Texas Medical Center Carthage's National Provider Identifier is 1891969663, issued on Apr 14, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Center, TX. The record was last updated on Aug 2, 2011.