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Organization
EAST TEXAS MEDICAL CENTER CARTHAGE
Active
Organization
EAST TEXAS MEDICAL CENTER CARTHAGE
Active
Other names
ETMC First Physicians Clinic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M HUDSON (ADMINISTRATOR)
(903) 694-4652
Entity
Organization
Contact information
Practice address
304 LOGANSPORT ST, CENTER, TX 75935-3521
(936) 598-3226
Mailing address
409 COTTAGE RD, CARTHAGE, TX 75633-1466
(903) 693-3841
(903) 694-4625
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G0849
TX
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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