East Texas Medical Center Carthage

NPI #1144552308 in Center, Texas

Provider Information

NPI Number: 1144552308
Entity Type: Organization
Organization Name: East Texas Medical Center Carthage
Primary Specialty: General Practice
Enumeration Date: Feb 12, 2010
Last Updated: Feb 12, 2010

Practice Location

Address: 304 LOGANSPORT ST
City: Center
State: Texas
ZIP Code: 75935-3521
Phone: (936) 598-3226

Authorized Official

Name: MR. GARY M HUDSON
Title: ADMINISTRATOR
Phone: (903) 694-4652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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