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East Texas Medical Center
Rural Health Clinic/Center in Crockett, Texas
NPI 1962483453

East Texas Medical Center is a Rural Health Clinic/Center based in Pittsburg, TX and is specialized in Rural Health. East Texas Medical Center practices in Crockett, TX. The NPI Number for East Texas Medical Center is 1962483453 and holds a License No. (Texas).

The current practice location address for East Texas Medical Center is 1100 E Loop 304, Crockett, TX and can be reached out via phone at 936-544-5132 and via fax at 936-544-3792.

Location: 1100 E Loop 304, Crockett, TX, 75686-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962483453
Provider Name
East Texas Medical Center
Credential
Provider Entity Type
Organization
Address
1100 E Loop 304, Crockett, TX, 75686-2203
Phone Number
936-544-5132
Fax Number
936-544-3792
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
095181602 05 TX
institution
Provider Business Practice Location Address Details
Address
1100 E Loop 304
City
Crockett
State
Texas
Zip
75835-1810
Phone Number
936-544-5132
Fax Number
936-544-3792
person
Provider Business Mailing Address Details
Address
1100 E Loop 304
City
Crockett
State
Texas
Zip
75835-1810
Phone Number
936-544-5132
Fax Number
936-544-3792
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
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Definition
Definition to come...
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