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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 (CEO)
(903) 927-3782
Entity
Organization

Contact information

Practice address
705 S GROVE ST, MARSHALL, TX 75670-5220
(903) 472-7307
(903) 472-7309
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
08/13/2020
Last updated
08/28/2023
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