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East Texas Border Health Clinic
Federally Qualified Health Center (FQHC) in Longview, Texas
NPI 1669872560

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 Longview, TX. The NPI Number for East Texas Border Health Clinic is 1669872560 and holds a License No. (Texas).

The current practice location address for East Texas Border Health Clinic is 2131 S Mobberly Ave, Longview, TX and can be reached out via phone at 903-758-3551.

Location: 2131 S Mobberly Ave, Longview, TX, 75671-1326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669872560
Provider Name
East Texas Border Health Clinic
Credential
Provider Entity Type
Organization
Address
2131 S Mobberly Ave, Longview, TX, 75671-1326
Phone Number
903-758-3551
Fax Number
Provider Enumeration Date
08/27/2014
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
340584701 05 TX
institution
Provider Business Practice Location Address Details
Address
2131 S Mobberly Ave
City
Longview
State
Texas
Zip
75602-3563
Phone Number
903-758-3551
Fax Number
person
Provider Business Mailing Address Details
Address
2131 S Mobberly Ave
City
Longview
State
Texas
Zip
75602-3563
Phone Number
903-758-3551
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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