| Etmc Physician Group Inc. | |
|
125 State Highway 31 E Chandler TX 75758-2376 | |
| (903) 549-3862 | |
| (903) 843-4965 |
| Full Name | Etmc Physician Group Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 State Highway 31 E, Chandler, Texas |
| Authorized Official Name and Position | Stephen C. Petrovich (EVP, GENERAL COUNSEL) |
| Authorized Official Contact | 6152963594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Etmc Physician Group Inc. 1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 Ph: (615) 296-3594 | Etmc Physician Group Inc. 125 State Highway 31 E Chandler TX 75758-2376 Ph: (903) 549-3862 |
| NPI Number | 1235706581 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 06/07/2021 |
| Medicare PECOS PAC ID | 4486915600 |
|---|---|
| Medicare Enrollment ID | O20210910000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235706581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Trinity Clinic Chandler Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 Hwy 31 East, Chandler, TX 75758 Phone: 903-849-5756 |