| East Texas Community Clinic, Inc. | |
|
115 Medical Cir Ste 100 Athens TX 75751-9004 | |
| (903) 603-7067 | |
| (903) 802-7125 |
| Full Name | East Texas Community Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 115 Medical Cir Ste 100, Athens, Texas |
| Authorized Official Name and Position | Glen W Robison (CEO) |
| Authorized Official Contact | 9036039851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Community Clinic, Inc. Po Box 1610 Athens TX 75751-1610 Ph: (903) 910-2015 | East Texas Community Clinic, Inc. 115 Medical Cir Ste 100 Athens TX 75751-9004 Ph: (903) 603-7067 |
| NPI Number | 1215522974 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215522974 | NPI | - | NPPES |
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