East Texas Border Health Clinic

NPI #1669872560 in Longview, Texas

Provider Information

NPI Number
1669872560
Entity Type
Organization
Organization Name
East Texas Border Health Clinic
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 27, 2014
Last Updated
Aug 28, 2023

Practice Location

Address
2131 S MOBBERLY AVE
State
Texas
ZIP Code
75602-3563
Phone
(903) 758-3551

Authorized Official

Name
MRS. CARLA ROADCAP
Title
CEO
Phone
(903) 927-3782

Specialties & Taxonomy Codes

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

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