Organization · Type 2 NPI

East Texas Medical Center

Rural Health Clinic/Center · Crockett, TX

NPI number 1962483453 Active

Practice location

1100 E Loop 304, Suite 200
Crockett, TX 75835-1810

Call (936) 544-5132 Map

Fax (936) 544-3792

Mailing address

PO Box 1304
Pittsburg, TX 75686-2203

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

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

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About NPI 1962483453

East Texas Medical Center's National Provider Identifier is 1962483453, issued on Nov 10, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Crockett, TX. The record was last updated on Feb 24, 2015.