Organization
EAST TEXAS BORDER HEALTH CLINIC
Active
Parent organization
EAST TEXAS BORDER HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TEXAS BORDER HEALTH CLINIC
Authorized official
CARLA ROADCAP (CEO)
(903) 927-3782
Entity
Organization
Contact information
Practice address
622 S GROVE ST, MARSHALL, TX 75670-5251
(903) 702-7900
(903) 702-7904
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
08/28/2023
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