| Etmc Physicans Clinic | |
|
1402 Linda Dr Daingerfield TX 75638-2132 | |
| (903) 841-7100 | |
| (903) 841-7286 |
| Full Name | Etmc Physicans Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1402 Linda Dr, Daingerfield, Texas |
| Authorized Official Name and Position | Thomas M O'gorman (REGIONAL CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9038564520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etmc Physicans Clinic Po Box 1237 Gilmer TX 75644-1237 Ph: (903) 841-7100 | Etmc Physicans Clinic 1402 Linda Dr Daingerfield TX 75638-2132 Ph: (903) 841-7100 |
| NPI Number | 1619124658 |
|---|---|
| Provider Enumeration Date | 08/21/2008 |
| Last Update Date | 10/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619124658 | NPI | - | NPPES |
| 453406 | Other | TX | MEDICARE RURAL HEALTH CLINIC |
| 168447408 | Medicaid | TX | |
| 168447406 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Care Center Daingerfield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 Linda Dr, Daingerfield, TX 75638 Phone: 903-434-8066 Fax: 903-577-6562 |