| East Texas Community Clinic, Inc. | |
|
801 W Main St Gun Barrel City TX 75156-5312 | |
| (903) 887-1011 | |
| (903) 340-8410 |
| Full Name | East Texas Community Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 W Main St, Gun Barrel City, Texas |
| Authorized Official Name and Position | Glen W Robison (CEO) |
| Authorized Official Contact | 9036039851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Community Clinic, Inc. Po Box 1610 Athens TX 75751-1610 Ph: (903) 603-9851 | East Texas Community Clinic, Inc. 801 W Main St Gun Barrel City TX 75156-5312 Ph: (903) 887-1011 |
| NPI Number | 1033752456 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 3678902905 |
|---|---|
| Medicare Enrollment ID | O20200407002337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033752456 | NPI | - | NPPES |
| Provider Name | Jamie A Metcalf-kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619170230 PECOS PAC ID: 6507913498 Enrollment ID: I20090410000106 |
| Provider Name | Charles Mettetal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245235266 PECOS PAC ID: 8325182835 Enrollment ID: I20100222000845 |
| Provider Name | Douglas Curran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821093824 PECOS PAC ID: 6305810680 Enrollment ID: I20100222000874 |
| Provider Name | Richard T David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104821800 PECOS PAC ID: 0143352443 Enrollment ID: I20100722000429 |
| Provider Name | Bruce Woodall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588667182 PECOS PAC ID: 8820051352 Enrollment ID: I20120813000704 |
| Provider Name | Angela M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457800294 PECOS PAC ID: 0648550442 Enrollment ID: I20161214000717 |
| Provider Name | Alice R Splinter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033506019 PECOS PAC ID: 9931456555 Enrollment ID: I20180727000215 |
| Provider Name | Jonathan C David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336594738 PECOS PAC ID: 3476845140 Enrollment ID: I20190723002317 |
| Provider Name | Garrett Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962161729 PECOS PAC ID: 5597143826 Enrollment ID: I20220527001306 |
Enriched Life Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2412 W Main St, Gun Barrel City, TX 75156 Phone: 903-309-9373 | |
Cedar Creek Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2418 W Main St, Gun Barrel City, TX 75156 Phone: 903-713-2000 Fax: 903-713-2004 | |
Pca Of Gun Barrel City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Main St, Gun Barrel City, TX 75156 Phone: 903-887-6252 | |
Divine Interventions Nurse Concierge Services, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 W Main St, Gun Barrel City, TX 75156 Phone: 903-716-6525 | |
Jen Mann Chuongmdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 W Main St, Gun Barrel City, TX 75156 Phone: 903-880-0131 | |
Blooming Cactus Therapy Services, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 W Main St, Gun Barrel City, TX 75156 Phone: 903-993-0910 Fax: 903-993-0920 |