OrganizationActive
East Texas Medical Center Quitman
NPI 1134115660 · Rural Health Clinic/Center · Van, TX
Provider details
- NPI number
- 1134115660
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas O'Gorman, Regional Cfo(903) 946-5500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
113 W Main St
Van, TX 75790-2883
Phone: (903) 963-8303
Fax: (903) 963-5863
Street-level locationGet directions
Mailing address
113 W Main St
Van, TX 75790-2883
Other names (DBA / former)
- Doing business as
- Etmc First Physicians Clinic Van
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2010-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.