East Texas Medical Center Quitman

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

EAST TEXAS MEDICAL CENTER QUITMAN

Doing business as

ETMC First Physicians Clinic Gilmer

Practice address

711 Titus St
Gilmer, TX 75644-1738

Phone

(903) 841-7300

Fax

(903) 841-7373

NPI assigned

Aug 28, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William P Henderson

Title

Senior Administrator

Phone

(903) 946-5519

Specialties & licenses 1

Addresses

Other names 1

• ETMC First Physicians Clinic Gilmer Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1730513672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1304",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756862203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 TITUS ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756441738",
            "telephone_number": "903-841-7300",
            "fax_number": "903-841-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS MEDICAL CENTER QUITMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SENIOR ADMINISTRATOR",
        "authorized_official_telephone_number": "903-946-5519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETMC First Physicians Clinic Gilmer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mildred Ann Cregler
• Julie Elaine Crouch
• Jacqulyn Delaine Daniels, DDS
• Jennifer Dean, IBCLC
• Dr. Kish MD, LLC
• East Texas Medical Center-Gilmer
• Ashley Edwards, PA, C
• Colin Elizabeth Efurd, NP
• Ehhc, Inc
• Felix Ekanem

• Rural Health Clinic/Center in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.