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Organization
EAST TEXAS MEDICAL CENTER CLARKSVILLE
Active
Organization
EAST TEXAS MEDICAL CENTER CLARKSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PERRY HENDERSON (SENIOR ADMINISTRATOR)
(903) 946-5500
Entity
Organization
Contact information
Practice address
3000 W MAIN ST, CLARKSVILLE, TX 75426-3371
(903) 427-6400
(903) 427-2719
Mailing address
PO BOX 1304, PITTSBURG, TX 75686-2203
(903) 427-6400
(903) 427-2719
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
000282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103862905
—
TX
Enumeration date
07/08/2006
Last updated
03/28/2013
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