EAST TEXAS MEDICAL CENTER QUITMAN NPI 1508871278

NPI Information

NPI: 1508871278
Provider Name: EAST TEXAS MEDICAL CENTER QUITMAN

Doing Business As: ETMC FIRST PHYSICIANS CLINIC MINEOLA

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

Specialization: Rural Health

Address:
1220 N PACIFIC ST
MINEOLA, TX
ZIP 75773
Phone: (903) 569-6124
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EAST TEXAS MEDICAL CENTER QUITMAN is a rural health clinic center in Mineola, TX. EAST TEXAS MEDICAL CENTER QUITMAN NPI is 1508871278. The provider is registered as an organization entity type.
The provider Is Doing Business As Etmc First Physicians Clinic Mineola.

The provider's business location address is:

1220 N PACIFIC ST
MINEOLA, TX
ZIP 75773-054
Phone: (903) 569-6124
Fax: (903) 569-2467

The provider's authorized official is Warren Robicheaux .
The authorized official title is Regional Administration and has the following contact phone number (903) 946-5500.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 8/17/2016.

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

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
1	063351301	MEDICAID	TEXAS
2	017624001	MEDICAID	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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