Organization
BROWN FAMILY HEALTH CENTER INC
Active
Other names
Health Horizons of East Texas, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOLANDA TATUM (EXECUTIVE DIRECTOR)
(936) 569-8240
Entity
Organization
Contact information
Practice address
1407 E MAIN ST, NACOGDOCHES, TX 75961-5369
(936) 569-8240
(936) 569-2217
Mailing address
PO BOX 635022, NACOGDOCHES, TX 75963-5022
(936) 569-8240
(936) 569-2217
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092SG
BLUE CROSS BLUE SHIELD
TX
05
—
182721401
—
TX
01
—
673932
MEDICARE CCN
—
Enumeration date
02/11/2008
Last updated
01/06/2021
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