| East Texas Family Healthcare Pllc | |
|
1304 W Court St Newton TX 75966-3009 | |
| (409) 379-2177 | |
| (409) 379-2188 |
| Full Name | East Texas Family Healthcare Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1304 W Court St, Newton, Texas |
| Authorized Official Name and Position | Kalyan K Rath (OWNER) |
| Authorized Official Contact | 4093849200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Family Healthcare Pllc 1304 W Court St Newton TX 75966-3009 Ph: (409) 379-2177 | East Texas Family Healthcare Pllc 1304 W Court St Newton TX 75966-3009 Ph: (409) 379-2177 |
| NPI Number | 1972512986 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 02/08/2023 |
| Medicare PECOS PAC ID | 2961310610 |
|---|---|
| Medicare Enrollment ID | O20030130000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972512986 | NPI | - | NPPES |
| 161594001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 673865 (Texas) | Primary |
Newton Family Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 East Court, Newton, TX 75966 Phone: 409-379-2647 Fax: 409-379-2698 |