institution
East Texas Medical Center Jacksonville
Rural Health Clinic/Center in Jacksonville, Texas
NPI 1821366170

East Texas Medical Center Jacksonville is a Rural Health Clinic/Center based in Jacksonville, TX and is specialized in Rural Health. East Texas Medical Center Jacksonville practices in Jacksonville, TX. The NPI Number for East Texas Medical Center Jacksonville is 1821366170 and holds a License No. (Texas).

The current practice location address for East Texas Medical Center Jacksonville is 203 Nacogdoches St, Jacksonville, TX and can be reached out via phone at 903-541-5396 and via fax at 903-541-5393.

Location: 203 Nacogdoches St, Jacksonville, TX, 75766-2434
institution
Provider Profile Details
NPI Number
1821366170
Provider Name
East Texas Medical Center Jacksonville
Credential
Provider Entity Type
Organization
Address
203 Nacogdoches St, Jacksonville, TX, 75766-2434
Phone Number
903-541-5396
Fax Number
903-541-5393
Provider Enumeration Date
12/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130612807 05 TX
130612808 01 TX THSTEPS
institution
Provider Business Practice Location Address Details
Address
203 Nacogdoches St
City
State
Zip
75766-2444
Phone Number
903-541-5396
Fax Number
903-541-5393
person
Provider Business Mailing Address Details
Address
203 Nacogdoches St
City
State
Zip
75766-2444
Phone Number
903-541-5396
Fax Number
903-541-5393
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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