| East Texas Medical Center Clarksville | |
|
3000 W Main St Clarksville TX 75426-3371 | |
| (903) 632-5632 | |
| (903) 427-2719 |
| Full Name | East Texas Medical Center Clarksville |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 3000 W Main St, Clarksville, Texas |
| Authorized Official Name and Position | Tambri L Rolston (REGIONAL DIRECTOR OF BUSINESS SER) |
| Authorized Official Contact | 9039465519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Medical Center Clarksville Po Box 1304 Pittsburg TX 75686-2203 Ph: (903) 427-6400 | East Texas Medical Center Clarksville 3000 W Main St Clarksville TX 75426-3371 Ph: (903) 632-5632 |
| NPI Number | 1063447159 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 02/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063447159 | NPI | - | NPPES |
| 063513801 | Medicaid | TX | |
| 017887301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 000292 (Texas) | Primary |
| 282NR1301X | General Acute Care Hospital - Rural | 000292 (Texas) | Secondary |
East Texas Medical Center Clarksville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 W Main St, Clarksville, TX 75426 Phone: 903-427-6400 | |
B. C. Muthappa, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Farm Road 2825, Clarksville, TX 75426 Phone: 903-427-2201 | |
H H Y, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Industrial Way, Clarksville, TX 75426 Phone: 903-428-0100 Fax: 903-428-0101 | |
H H Y, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Industrial Way, Clarksville, TX 75426 Phone: 903-428-0100 Fax: 903-428-0101 | |
Prmc Healthcare Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 S Walnut St, Clarksville, TX 75426 Phone: 903-427-5682 |