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East Texas Medical Center Quitman
Rural Health Clinic/Center in Van, Texas
NPI 1134115660

East Texas Medical Center Quitman is a Rural Health Clinic/Center based in Van, TX and is specialized in Rural Health. East Texas Medical Center Quitman practices in Van, TX. The NPI Number for East Texas Medical Center Quitman is 1134115660 and holds a License No. (Texas).

The current practice location address for East Texas Medical Center Quitman is 113 W Main St, Van, TX and can be reached out via phone at 903-963-8303 and via fax at 903-963-5863.

Location: 113 W Main St, Van, TX, 75790-2883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134115660
Provider Name
East Texas Medical Center Quitman
Credential
Provider Entity Type
Organization
Address
113 W Main St, Van, TX, 75790-2883
Phone Number
903-963-8303
Fax Number
903-963-5863
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
063353901 05 TX
017625701 05 TX
institution
Provider Business Practice Location Address Details
Address
113 W Main St
City
Van
State
Texas
Zip
75790-2883
Phone Number
903-963-8303
Fax Number
903-963-5863
person
Provider Business Mailing Address Details
Address
113 W Main St
City
Van
State
Texas
Zip
75790-2883
Phone Number
903-963-8303
Fax Number
903-963-5863
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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