Organization
EAST TEXAS MEDICAL CENTER CARTHAGE
Active
Other names
ETMC First Physician Clinic Carthage
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M HUDSON (ADMINISTRATOR)
(903) 693-3841
Entity
Organization
Contact information
Practice address
702 DAVIS ST, CARTHAGE, TX 75633-1460
(903) 693-3841
(903) 694-4633
Mailing address
PO BOX 549, CARTHAGE, TX 75633-0549
(903) 693-3841
(903) 694-4633
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00374K
BLUE CROSS OF TEXAS
TX
Enumeration date
11/14/2006
Last updated
10/26/2007
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