| East Texas Medical Center Jacksonville | |
|
580 North Frankston Highway Frankston TX 75763-2654 | |
| (903) 876-5888 | |
| (903) 876-5889 |
| Full Name | East Texas Medical Center Jacksonville |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 580 North Frankston Highway, Frankston, Texas |
| Authorized Official Name and Position | Jack R Endres (ADMINISTRATOR) |
| Authorized Official Contact | 9035415100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Medical Center Jacksonville 501 S Ragsdale St Jacksonville TX 75766-2434 Ph: (903) 541-5100 | East Texas Medical Center Jacksonville 580 North Frankston Highway Frankston TX 75763-2654 Ph: (903) 876-5888 |
| NPI Number | 1023342755 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 07/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023342755 | NPI | - | NPPES |
| 213876002 | Other | TX | THSTEPS |
| 213876001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jacksonville Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 580 N Frankston Hwy, Frankston, TX 75763 Phone: 903-876-5888 Fax: 903-876-5889 | |
C. Renee Bean D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 E Murchison St, Frankston, TX 75763 Phone: 903-876-5888 Fax: 903-876-5889 |