Organization
EAST TEXAS BORDER HEALTH CLINIC
Active
Parent organization
EAST TEXAS BORDER HEALTH CLINIC
Other names
Genesis PrimeCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TEXAS BORDER HEALTH CLINIC
Authorized official
CARLA ROADCAP (CHIEF EXECUTIVE OFFICER)
(903) 927-3782
Entity
Organization
Contact information
Practice address
401 N GROVE STREET, MARSHALL, TX 75670-3255
(903) 665-8453
(903) 665-8496
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 472-4577
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/31/2013
Last updated
08/28/2023
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