EAST TEXAS MEDICAL CENTER CLARKSVILLE NPI 1104179910

NPI Information

NPI: 1104179910
Provider Name: EAST TEXAS MEDICAL CENTER CLARKSVILLE

Doing Business As: ETMC FIRST PHYSICIANS CLINIC CLARKSVILLE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
3000 W MAIN ST
CLARKSVILLE, TX
ZIP 75426
Phone: (903) 427-6400
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EAST TEXAS MEDICAL CENTER CLARKSVILLE is a rural health clinic center in Clarksville, TX. EAST TEXAS MEDICAL CENTER CLARKSVILLE NPI is 1104179910. The provider is registered as an organization entity type.
The provider Is Doing Business As Etmc First Physicians Clinic Clarksville.

The provider's business location address is:

3000 W MAIN ST
CLARKSVILLE, TX
ZIP 75426-371
Phone: (903) 427-6400

The provider's authorized official is Tambri Rolston .
The authorized official title is Regional Dir Of Business Services and has the following contact phone number (903) 946-5519.

The enumeration date for this NPI number is 10/17/2012 and was last updated on 10/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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