East Texas Community Clinic, Inc.

LBN: East Texas Community Clinic, Inc.
East Texas Community Clinic, Inc. is an health care organization with primary practice located at 801 W Main St , Gun Barrel City TX 75156-5312. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. East Texas Community Clinic, Inc. can be contacted via phone (903) 887-1011, or through Robison, Glen W via phone (903) 603-9851.

Contact Information

Primary practice address
801 W Main St Gun Barrel City TX 75156-5312
Phone: (903) 887-1011
Fax: (903) 340-8410
Website:
Map and Directions
Authorized official contact:
Name: Robison, Glen W
Phone: (903) 603-9851

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1033752456
LBN Legal business name East Texas Community Clinic, Inc.
DBA Doing business as
Authorized official Robison, Glen W
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2019
Last updated May 30th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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