East Texas Medical Center Henderson Fhc Epsdt | |
300 Wilson St Henderson TX 75652-5956 | |
(903) 657-7541 | |
Not Available |
Full Name | East Texas Medical Center Henderson Fhc Epsdt |
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Speciality | Clinic/center - Rural Health |
Location | 300 Wilson St, Henderson, Texas |
Authorized Official Name and Position | Byron Hale (SR. VICE PRESIDENT OF FINANCE) |
Authorized Official Contact | 9035318010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East Texas Medical Center Henderson Fhc Epsdt 300 Wilson St Henderson TX 75652-5956 Ph: (903) 657-7541 | East Texas Medical Center Henderson Fhc Epsdt 300 Wilson St Henderson TX 75652-5956 Ph: (903) 657-7541 |
NPI Number | 1245464536 |
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Provider Enumeration Date | 05/14/2009 |
Last Update Date | 05/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245464536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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