East Texas Medical Center Quitman

NPI #1134115660 in Van, Texas

Provider Information

NPI Number
1134115660
Entity Type
Organization
Organization Name
East Texas Medical Center Quitman
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Sep 20, 2005
Last Updated
Jun 14, 2010

Practice Location

Address
113 W MAIN ST
City
Van
State
Texas
ZIP Code
75790-2883
Phone
(903) 963-8303

Authorized Official

Name
MR. THOMAS O'GORMAN
Title
REGIONAL CFO
Phone
(903) 946-5500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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