Organization
EAST TEXAS MEDICAL CENTER CARTHAGE
Active
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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