| Etmc First Physicians Clinic Mineola 2 | |
|
1220 N Pacific Ave Ste 2 Mineola TX 75773-1054 | |
| (903) 569-0610 | |
| (903) 569-0676 |
| Full Name | Etmc First Physicians Clinic Mineola 2 |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1220 N Pacific Ave, Mineola, Texas |
| Authorized Official Name and Position | Thomas O'gorman (REGIONAL CFO) |
| Authorized Official Contact | 9039465520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etmc First Physicians Clinic Mineola 2 P.o. Box 1304 Pittsburg TX 75686-2203 Ph: (903) 946-5519 | Etmc First Physicians Clinic Mineola 2 1220 N Pacific Ave Ste 2 Mineola TX 75773-1054 Ph: (903) 569-0610 |
| NPI Number | 1639184369 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639184369 | NPI | - | NPPES |
| 017624004 | Medicaid | TX | |
| 017624006 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mineola Medical Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 W Kilpatrick St, Mineola, TX 75773 Phone: 903-569-2006 | |
Elliott-thomas Health Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Kilpatrick St, Mineola, TX 75773 Phone: 903-569-2006 Fax: 903-569-2206 | |
Quitman Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1220 N Pacific St, Mineola, TX 75773 Phone: 903-569-6124 Fax: 903-569-2467 | |
Trinity Clinic Mineola Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1302 N Pacific St, Mineola, TX 75773 Phone: 903-569-5383 | |
Etmc First Physicians Clinic Mineola Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 N Pacific St, Mineola, TX 75773 Phone: 903-569-6124 Fax: 903-569-2467 | |
Grace Community Healthcare Ministry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 N Pacific St, Mineola, TX 75773 Phone: 903-363-6361 Fax: 903-569-0029 |