East Texas Medical Center Carthage
Organization Active NPI General Practice Physician · Center, TX
NPI 1144552308 · NPPES record last updated Feb 12, 2010
Key facts
- NPI
- 1144552308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- G0849 (TX)
- Legal business name
- EAST TEXAS MEDICAL CENTER CARTHAGE
- Practice address
- 304 Logansport St
Center, TX 75935-3521 - Phone
- (936) 598-3226
- NPI assigned
- Feb 12, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Gary M Hudson
- Title
- Administrator
- Phone
- (903) 694-4652
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | G0849 | TX | Yes |
Addresses
Primary practice location
304 Logansport St
Center, TX 75935-3521
Mailing address
409 Cottage Rd
Carthage, TX 75633-1466
Phone (903) 693-3841
Other names
- ETMC First Physicians Clinic Center
Other providers in Center, TX
- Dialysis Clinic Inc
- Kendall Douglass
- Crystal Dry
- Christina Ann Dux
- East Texas Management, LLC
- East Texas Medical Center Carthage
- East Texas Medical Center Carthage
- East Texas Medical Center Carthage
- East Texas Medical Clinic,P.a
- Madelyn Eaves
All providers in Center, TX · General Practice Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.