NPI 1497568513

East Texas Community Clinic, INC.

Organisation Federally Qualified Health Center (FQHC) Canton, TX

Practice location

Address: 400 E State Highway 243 STE 18, Canton, TX 75103-2445
Phone: (903) 287-5011
Fax: (903) 802-7125
Mailing address: PO Box 1610, Athens, TX 75751-1610

Authorised official

Name: Glen W Robison
Title: Ceo
Phone: (903) 603-9851

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Texas →

Registry record

NPI: 1497568513
Entity type: Organization
NPI issued: 31 Jan 2025
Record last updated: 31 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.