| NPI | 1497568513 |
|---|---|
| Former Legal Business Name | EAST TEXAS COMMUNITY CLINIC, INC. |
| Entity Type | Organization |
| Authorized Contact | GLEN W ROBISON CEO 903-603-9851 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |