| East Texas Medical Clinic,p.a | |
|
1743 Southview Cir Center TX 75935-9324 | |
| (936) 591-8888 | |
| (936) 591-8884 |
| Full Name | East Texas Medical Clinic,p.a |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1743 Southview Cir, Center, Texas |
| Authorized Official Name and Position | Ajitha Chandramohan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9365918888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Medical Clinic,p.a 1743 Southview Cir Center TX 75935-9324 Ph: (936) 591-8888 | East Texas Medical Clinic,p.a 1743 Southview Cir Center TX 75935-9324 Ph: (936) 591-8888 |
| NPI Number | 1255729323 |
|---|---|
| Provider Enumeration Date | 12/24/2014 |
| Last Update Date | 12/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255729323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | K7000 (Texas) | Primary |
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