institution
East Texas Border Health Clinic
Federally Qualified Health Center (FQHC) in Texarkana, Texas
NPI 1053663690

East Texas Border Health Clinic is a Federally Qualified Health Center (FQHC) based in Marshall, TX and is specialized in Federally Qualified Health Center (FQHC). East Texas Border Health Clinic practices in Texarkana, TX. The NPI Number for East Texas Border Health Clinic is 1053663690 and holds a License No. (Texas).

The current practice location address for East Texas Border Health Clinic is 1400 College Dr, Texarkana, TX and can be reached out via phone at 903-791-1110 and via fax at 903-791-9353.

Location: 1400 College Dr, Texarkana, TX, 75671-1326
institution
Provider Profile Details
NPI Number
1053663690
Provider Name
East Texas Border Health Clinic
Credential
Provider Entity Type
Organization
Address
1400 College Dr, Texarkana, TX, 75671-1326
Phone Number
903-791-1110
Fax Number
903-791-9353
Provider Enumeration Date
10/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
192226202 05 TX
198049002 05 AR
institution
Provider Business Practice Location Address Details
Address
1400 College Dr
City
State
Zip
75503-3536
Phone Number
903-791-1110
Fax Number
903-791-9353
person
Provider Business Mailing Address Details
Address
1400 College Dr
City
State
Zip
75503-3536
Phone Number
903-791-1110
Fax Number
903-791-9353
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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