Organization
EAST TEXAS MEDICAL CENTER CARTHAGE
Active
Other names
East Texas Medical Center Health Clinic Carthage
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M HUDSON (ADMINISTRATOR)
(903) 693-3841
Entity
Organization
Contact information
Practice address
409 COTTAGE RD, CARTHAGE, TX 75633-1466
(903) 693-3841
(903) 694-4633
Mailing address
409 COTTAGE RD, CARTHAGE, TX 75633-1466
(903) 693-3841
(903) 694-4633
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00374K
BLUE CROSS OF TEXAS
TX
05
—
063445302
—
TX
05
—
063445303
—
TX
Enumeration date
11/24/2006
Last updated
08/14/2015
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