Etmc Henderson Fhc | |
300 Wilson St Henderson TX 75652-5956 | |
(903) 657-7541 | |
(903) 657-4009 |
Full Name | Etmc Henderson Fhc |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 300 Wilson St, Henderson, Texas |
Authorized Official Name and Position | Mark S Leitner (ADMINISTRATOR) |
Authorized Official Contact | 9036553616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Etmc Henderson Fhc 300 Wilson St Henderson TX 75652-5956 Ph: (903) 657-7541 | Etmc Henderson Fhc 300 Wilson St Henderson TX 75652-5956 Ph: (903) 657-7541 |
NPI Number | 1376777649 |
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Provider Enumeration Date | 05/14/2009 |
Last Update Date | 01/31/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376777649 | NPI | - | NPPES |
0047SP | Other | TX | BLUE CROSS BLUE SHIELD |
208755301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
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