Organization
EAST TEXAS MEDICAL CENTER QUITMAN
Active
Other names
ETMC First Physicians Clinic Mineola 2
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O'GORMAN (REGIONAL CFO)
(903) 946-5520
Entity
Organization
Contact information
Practice address
1220 N PACIFIC AVE, STE 2, MINEOLA, TX 75773-1054
(903) 569-0610
(903) 569-0676
Mailing address
P.O. BOX 1304, PITTSBURG, TX 75686-2203
(903) 946-5519
(903) 946-5531
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017624004
—
TX
05
—
017624006
—
TX
Enumeration date
07/30/2006
Last updated
08/05/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us