Organization
EAST TEXAS MEDICAL CENTER CARTHAGE
Active
Parent organization
EAST TEXAS MEDICAL CENTER CARTHAGE
Other names
ETMC First Physicians Clinic Center III
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TEXAS MEDICAL CENTER CARTHAGE
Authorized official
MR. GARY M HUDSON (ADMINISTRATOR)
(903) 694-4652
Entity
Organization
Contact information
Practice address
305 COTTAGE RD, CARTHAGE, TX 75633-1511
(936) 590-4035
(936) 590-4146
Mailing address
409 COTTAGE RD, CARTHAGE, TX 75633-1466
(903) 694-4652
(903) 694-4625
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3187015-01
—
TX
05
—
3187015-02
—
TX
Enumeration date
12/20/2012
Last updated
08/14/2014
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