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EAST TEXAS MEDICAL CENTER QUITMAN NPI 1730513672


NPI Information

NPI: 1730513672
Provider Name: EAST TEXAS MEDICAL CENTER QUITMAN

Doing Business As: ETMC FIRST PHYSICIANS CLINIC GILMER

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

Specialization: Rural Health

Address:
711 TITUS ST
GILMER, TX
ZIP 75644
Phone: (903) 841-7300
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EAST TEXAS MEDICAL CENTER QUITMAN is a rural health clinic center in Gilmer, TX. EAST TEXAS MEDICAL CENTER QUITMAN NPI is 1730513672. The provider is registered as an organization entity type.
The provider Is Doing Business As Etmc First Physicians Clinic Gilmer.

The provider's business location address is:

711 TITUS ST
GILMER, TX
ZIP 75644-738
Phone: (903) 841-7300
Fax: (903) 841-7373

The provider's authorized official is William P Henderson .
The authorized official title is Senior Administrator and has the following contact phone number (903) 946-5519.

The enumeration date for this NPI number is 8/28/2013 and was last updated on 2/23/2015.


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
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1458866MEDICARE PINTEXAS

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
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