# EAST TEXAS MEDICAL CENTER CARTHAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ETMC First Physicians Clinic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144552308
- **Authorized official:** MR. GARY M HUDSON (ADMINISTRATOR)
- **Authorized official phone:** (903) 694-4652

## Contact information

- **Practice address:** 304 LOGANSPORT ST, CENTER, TX 75935-3521
- **Practice address phone:** (936) 598-3226
- **Mailing address:** 409 COTTAGE RD, CARTHAGE, TX 75633-1466
- **Mailing address phone:** (903) 693-3841
- **Mailing address fax:** (903) 694-4625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G0849 | TX | Yes |

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 02/12/2010