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Contact Information

EAST TEXAS CLINIC
101 WILLIS AVE
NAPLES, TX75568
 Phone: 903-897-5684
 Fax: 903-897-5339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EAST TEXAS CLINIC

NPI # 1801958665
LBN Legal business name EAST TEXAS CLINIC
Authorized official JAMES GRIFFIN - (FAMILY PRACTICE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TX License # PA03991
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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