Etmc Physician Group Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Henderson, TX
NPI 1821588047 · NPPES record last updated May 14, 2018
Key facts
- NPI
- 1821588047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ETMC PHYSICIAN GROUP INC.
- Practice address
- 612 N High St Ste a
Henderson, TX 75652-5914 - Phone
- (903) 657-1441
- NPI assigned
- May 14, 2018
- Organization subpart
- No
Authorized official
- Name
- Stephen C. Petrovich
- Title
- Evp
- Phone
- (615) 296-3000
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
612 N High St Ste a
Henderson, TX 75652-5914
Mailing address
1 Burton Hills Blvd Ste 250
Nashville, TN 37215-6195
Phone (615) 296-3227
Other names
- UT Health East Texas Physicians
Other providers in Henderson, TX
- Jacqueline Ervin
- Esc IV, L.P.
- Sandra Lylia Escamilla
- Bonnie L Estes
- John Etakibuebu
- Family Care of Henderson, PLLC
- Charles Michael Flint
- Anabel Flores
- Peggie Foreman
- Ola Marie Franklin
All providers in Henderson, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2018. 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.