Etmc Physician Group Inc.

LBN: Etmc Physician Group Inc.
Etmc Physician Group Inc. is an health care organization with primary practice located at 100 Municipal Dr Ste 300 , Gun Barrel City TX 75156-3703. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Etmc Physician Group Inc. can be contacted via phone (903) 713-1574, or through Petrovich, Stephen C. via phone (615) 296-3594.

Contact Information

Primary practice address
100 Municipal Dr Ste 300 Gun Barrel City TX 75156-3703
Fax:
Website:
Authorized official contact:
Name: Petrovich, Stephen C.

Health care specialties

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

Profile Details

NPI number 1689241945
LBN Legal business name Etmc Physician Group Inc.
DBA Doing business as
Authorized official Petrovich, Stephen C.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2021
Last updated Jun 7th, 2021 - about 3 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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