East Texas Community Clinic, Inc.

NPI #1497568513 in Canton, Texas

Provider Information

NPI Number
1497568513
Entity Type
Organization
Organization Name
East Texas Community Clinic, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
EAST TEXAS COMMUNITY CLINIC, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jan 31, 2025
Last Updated
Jan 31, 2025

Practice Location

Address
400 E STATE HIGHWAY 243 STE 18
City
Canton
State
Texas
ZIP Code
75103-2445
Phone
(903) 287-5011

Authorized Official

Name
GLEN W ROBISON
Title
CEO
Phone
(903) 603-9851

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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