| East Texas Community Clinic, Inc. | |
|
400 E State Highway 243 Ste 18 Canton TX 75103-2445 | |
| (903) 287-5011 | |
| (903) 802-7125 |
| Full Name | East Texas Community Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 400 E State Highway 243 Ste 18, Canton, Texas |
| Authorized Official Name and Position | Glen W Robison (CEO) |
| Authorized Official Contact | 9036039851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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. 400 E State Highway 243 Ste 18 Canton TX 75103-2445 Ph: (903) 287-5011 |
| NPI Number | 1497568513 |
|---|---|
| Provider Enumeration Date | 01/31/2025 |
| Last Update Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497568513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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