Organization
EAST TEXAS COMMUNITY CLINIC, INC.
Active
Parent organization
EAST TEXAS COMMUNITY CLINIC, INC.
Other names
East Texas Community Clinic, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TEXAS COMMUNITY CLINIC, INC.
Authorized official
GLEN W ROBISON (CEO)
(903) 603-9851
Entity
Organization
Contact information
Practice address
400 E STATE HIGHWAY 243 STE 18, CANTON, TX 75103-2445
(903) 287-5011
(903) 802-7125
Mailing address
PO BOX 1610, ATHENS, TX 75751-1610
(903) 603-9851
(903) 802-7125
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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