Etmc First Physicians Clinic Van

LBN: East Texas Medical Center Quitman
Etmc First Physicians Clinic Van is an health care organization with primary practice located at 113 W Main St , Van TX 75790-2883. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. East Texas Medical Center Quitman can be contacted via phone (903) 963-8303, or through O'Gorman, Thomas via phone (903) 946-5500.

Contact Information

Primary practice address
113 W Main St Van TX 75790-2883
Phone: (903) 963-8303
Fax: (903) 963-5863
Website:
Map and Directions
Authorized official contact:
Name: O'Gorman, Thomas
Phone: (903) 946-5500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1134115660
LBN Legal business name East Texas Medical Center Quitman
DBA Doing business as Etmc First Physicians Clinic Van
Authorized official O'Gorman, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 14th, 2010 - about 15 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1134115660 NPPES
Texas MEDICAID 063353901
Texas MEDICAID 017625701

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