institution
East Texas Medical Center Henderson
Rural Health Clinic/Center in Henderson, Texas
NPI 1376777649

East Texas Medical Center Henderson is a Rural Health Clinic/Center based in Henderson, TX and is specialized in Rural Health. East Texas Medical Center Henderson practices in Henderson, TX. The NPI Number for East Texas Medical Center Henderson is 1376777649 and holds a License No. (Texas).

The current practice location address for East Texas Medical Center Henderson is 300 Wilson St, Henderson, TX and can be reached out via phone at 903-657-7541 and via fax at 903-657-4009.

Location: 300 Wilson St, Henderson, TX, 75652-5956
institution
Provider Profile Details
NPI Number
1376777649
Provider Name
East Texas Medical Center Henderson
Credential
Provider Entity Type
Organization
Address
300 Wilson St, Henderson, TX, 75652-5956
Phone Number
903-657-7541
Fax Number
903-657-4009
Provider Enumeration Date
05/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0047SP 01 TX BLUE CROSS BLUE SHIELD
208755301 05 TX
institution
Provider Business Practice Location Address Details
Address
300 Wilson St
City
State
Zip
75652-5956
Phone Number
903-657-7541
Fax Number
903-657-4009
person
Provider Business Mailing Address Details
Address
300 Wilson St
City
State
Zip
75652-5956
Phone Number
903-657-7541
Fax Number
903-657-4009
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
(Texas)
Definition
Definition to come...
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