Organization
EAST TEXAS MEDICAL CENTER JACKSONVILLE
Active
Other names
ETMC First Physicians Clinic Frankston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK R ENDRES (ADMINISTRATOR)
(903) 541-5100
Entity
Organization
Contact information
Practice address
580 NORTH FRANKSTON HIGHWAY, FRANKSTON, TX 75763-2654
(903) 876-5888
(903) 876-5889
Mailing address
501 S RAGSDALE ST, JACKSONVILLE, TX 75766-2434
(903) 541-5100
(903) 541-5068
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213876001
—
TX
01
—
213876002
THSTEPS
TX
Enumeration date
09/29/2009
Last updated
07/28/2011
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