East Texas Community Clinic, Inc.
NPI 1033752456 · Federally Qualified Health Center (FQHC) · Gun Barrel City, TX
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Texas Community Clinic, Inc. is a Federally Qualified Health Center (FQHC) organization in Gun Barrel City, TX (NPI 1033752456).
Provider details
- NPI number
- 1033752456
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glen Robison, Ceo(903) 603-9851
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 115 Medical Cir Ste 100Athens, TX 75751-9004Phone: (903) 603-7067Fax: (903) 603-7595
- 400 E State Highway 243 Ste 18Canton, TX 75103-2445Phone: (903) 287-5011Fax: (903) 802-7125
Registry dates
- Enumerated
- 2019-10-18
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Frequently asked questions
- What is East Texas Community Clinic, Inc.'s NPI number?
- East Texas Community Clinic, Inc.'s National Provider Identifier (NPI) is 1033752456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Texas Community Clinic, Inc.?
- East Texas Community Clinic, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is East Texas Community Clinic, Inc. located?
- East Texas Community Clinic, Inc.'s practice location on file with NPPES is 801 W Main St, Gun Barrel City, TX 75156-5312.
- What is East Texas Community Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for East Texas Community Clinic, Inc. is (903) 887-1011.
- Does East Texas Community Clinic, Inc. accept Medicare?
- East Texas Community Clinic, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Texas Community Clinic, Inc.?
- The authorized official listed on East Texas Community Clinic, Inc.'s NPPES record is Glen Robison, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Texas Community Clinic, Inc.'s NPI active?
- Yes — East Texas Community Clinic, Inc.'s NPI (1033752456) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.