East Texas Medical Clinic,p.a

NPI #1255729323 in Center, Texas

Provider Information

NPI Number
1255729323
Entity Type
Organization
Organization Name
East Texas Medical Clinic,p.a
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Dec 24, 2014
Last Updated
Dec 24, 2014

Practice Location

Address
1743 SOUTHVIEW CIR
City
Center
State
Texas
ZIP Code
75935-9324
Phone
(936) 591-8888

Authorized Official

Name
AJITHA CHANDRAMOHAN, M.D
Title
MEDICAL DIRECTOR
Phone
(936) 591-8888

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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