| Etmc Henderson Fhc | |
|
300 Wilson St Henderson TX 75652-5956 | |
| (903) 657-7541 | |
| (903) 657-4009 |
| Full Name | Etmc Henderson Fhc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 300 Wilson St, Henderson, Texas |
| Authorized Official Name and Position | Mark S Leitner (ADMINISTRATOR) |
| Authorized Official Contact | 9036553616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etmc Henderson Fhc 300 Wilson St Henderson TX 75652-5956 Ph: (903) 657-7541 | Etmc Henderson Fhc 300 Wilson St Henderson TX 75652-5956 Ph: (903) 657-7541 |
| NPI Number | 1376777649 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 01/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376777649 | NPI | - | NPPES |
| 0047SP | Other | TX | BLUE CROSS BLUE SHIELD |
| 208755301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
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