| Etmc First Physicians Clinic Quitman | |
|
117 N Winnsboro St Quitman TX 75783-2144 | |
| (903) 763-6220 | |
| (903) 946-5531 |
| Full Name | Etmc First Physicians Clinic Quitman |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 117 N Winnsboro St, Quitman, Texas |
| Authorized Official Name and Position | William P Henderson (VP AFFILIATE OPERATIONS) |
| Authorized Official Contact | 9039465500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etmc First Physicians Clinic Quitman Po Box 1304 Pittsburg TX 75686-2203 Ph: (903) 763-6220 | Etmc First Physicians Clinic Quitman 117 N Winnsboro St Quitman TX 75783-2144 Ph: (903) 763-6220 |
| NPI Number | 1508871245 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508871245 | NPI | - | NPPES |
| 172427001 | Medicaid | TX | |
| 172427002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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