East Texas Out-Patient Pllc

NPI #1417511593 in Edgewood, Texas

Provider Information

NPI Number: 1417511593
Entity Type: Organization
Organization Name: East Texas Out-Patient Pllc
Primary Specialty: Family Medicine
Enumeration Date: Apr 24, 2019
Last Updated: Jul 1, 2025

Practice Location

Address: 116 N HOUSTON ST
City: Edgewood
State: Texas
ZIP Code: 75117-1555
Phone: (903) 962-3419

Authorized Official

Name: JIMMY W DAILEY
Title: OWNER
Phone: (903) 567-1910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Glenn R Graves, M.D.	Family Medicine	Austin	AI Deep Dive
Joseph J Malleske, M.D.	Family Medicine	Austin	AI Deep Dive
Eric W Weidmann, M.D.	Family Medicine	Austin	AI Deep Dive
Rommana Aziz, D.O.	Family Medicine	Carrollton	AI Deep Dive

Organizations

Provider Name	Specialty	City
Edgewood Rural Healthh Clinic Part of Ritz Hospitality, LLC	Family Medicine	Edgewood	AI Deep Dive

Want to research this healthcare provider further?