| Etmc First Physicians Clinic Mineola | |
|
1220 N Pacific St Mineola TX 75773-1054 | |
| (903) 569-6124 | |
| (903) 569-2467 |
| Full Name | Etmc First Physicians Clinic Mineola |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1220 N Pacific St, Mineola, Texas |
| Authorized Official Name and Position | Warren Robicheaux (REGIONAL ADMINISTRATION) |
| Authorized Official Contact | 9039465500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etmc First Physicians Clinic Mineola Po Box 1304 Pittsburg TX 75686-2203 Ph: (903) 946-5519 | Etmc First Physicians Clinic Mineola 1220 N Pacific St Mineola TX 75773-1054 Ph: (903) 569-6124 |
| NPI Number | 1508871278 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508871278 | NPI | - | NPPES |
| 063351301 | Medicaid | TX | |
| 017624001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mineola Medical Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 W Kilpatrick St, Mineola, TX 75773 Phone: 903-569-2006 | |
Elliott-thomas Health Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Kilpatrick St, Mineola, TX 75773 Phone: 903-569-2006 Fax: 903-569-2206 | |
Quitman Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1220 N Pacific St, Mineola, TX 75773 Phone: 903-569-6124 Fax: 903-569-2467 | |
Trinity Clinic Mineola Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1302 N Pacific St, Mineola, TX 75773 Phone: 903-569-5383 | |
Etmc First Physicians Clinic Mineola 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 N Pacific Ave, Ste 2, Mineola, TX 75773 Phone: 903-569-0610 Fax: 903-569-0676 | |
Diana Bankhead Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 139 Maxine St, Mineola, TX 75773 Phone: 903-569-2929 |