institution
East Texas Border Health Clinic
Federally Qualified Health Center (FQHC) in Jefferson, Texas
NPI 1659567337

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 Jefferson, TX. The NPI Number for East Texas Border Health Clinic is 1659567337 and holds a License No. (Texas).

The current practice location address for East Texas Border Health Clinic is 106 N Alley Street, Jefferson, TX and can be reached out via phone at 903-665-8453 and via fax at 903-665-8496.

Location: 106 N Alley Street, Jefferson, TX, 75671-1326
institution
Provider Profile Details
NPI Number
1659567337
Provider Name
East Texas Border Health Clinic
Credential
Provider Entity Type
Organization
Address
106 N Alley Street, Jefferson, TX, 75671-1326
Phone Number
903-665-8453
Fax Number
903-665-8496
Provider Enumeration Date
09/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
174139903 05 TX
institution
Provider Business Practice Location Address Details
Address
106 N Alley Street
City
State
Zip
75657-1408
Phone Number
903-665-8453
Fax Number
903-665-8496
person
Provider Business Mailing Address Details
Address
106 N Alley Street
City
State
Zip
75657-1408
Phone Number
903-665-8453
Fax Number
903-665-8496
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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