| East Texas Border Health Clinic | |
|
106 N Alley Street Jefferson TX 75657-1408 | |
| (903) 665-8453 | |
| (903) 665-8496 |
| Full Name | East Texas Border Health Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 106 N Alley Street, Jefferson, Texas |
| Authorized Official Name and Position | Carla Roadcap (CEO) |
| Authorized Official Contact | 9039273782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Border Health Clinic Po Box 1326 Marshall TX 75671-1326 Ph: (903) 927-3782 | East Texas Border Health Clinic 106 N Alley Street Jefferson TX 75657-1408 Ph: (903) 665-8453 |
| NPI Number | 1659567337 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659567337 | NPI | - | NPPES |
| 174139903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Good Shepherd Glenn-garrett Clinic - Jefferson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 N Walcott St, Jefferson, TX 75657 Phone: 903-665-9500 Fax: 903-665-9501 | |
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Jefferson Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 N Alley St, Jefferson, TX 75657 Phone: 903-665-1014 |