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Organization

EAST TEXAS COMMUNITY HEALTH SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA K HUMPHREYS (CFO)
(936) 560-5413
Entity
Organization

Contact information

Practice address
1309 S UNIVERSITY DR, NACOGDOCHES, TX 75961-6486
(936) 560-5668
(936) 552-7240
Mailing address
PO BOX 632040, NACOGDOCHES, TX 75963-2040
(936) 560-5413
(936) 552-7240

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
207Q00000X
Family Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
261QA0005X
Ambulatory Family Planning Facility
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM1300X
Multi-Specialty Clinic/Center
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
06/23/2006
Last updated
01/06/2026
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