Organization
ESSENT PRMC LP
Active
Other names
Bogata Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W BROWDER (PRESIDENT & CEO)
(615) 312-5103
Entity
Organization
Contact information
Practice address
605 NORTH MAIN STREET, BOGATA, TX 75417-0540
(903) 632-9102
(903) 632-9910
Mailing address
PO BOX 9070, PARIS, TX 75461-9070
(903) 737-3257
(903) 737-3375
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165477401
—
TX
Enumeration date
07/15/2005
Last updated
07/21/2022
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