Organization
EAST TEXAS MEDICAL CENTER CLARKSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PERRY HENDERSON (SENIOR ADMINISTRATOR)
(903) 946-5500
Entity
Organization
Contact information
Practice address
3000 W MAIN ST, CLARKSVILLE, TX 75426-3371
(903) 427-6400
(903) 427-2719
Mailing address
PO BOX 1304, PITTSBURG, TX 75686-2203
(903) 427-6400
(903) 427-2719
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
000282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103862905
—
TX
Enumeration date
07/08/2006
Last updated
03/28/2013
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