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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