OrganizationActive
East Texas Community Clinic, Inc.
NPI 1497568513 · Federally Qualified Health Center (FQHC) · Canton, TX
Provider details
- NPI number
- 1497568513
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- East Texas Community Clinic, Inc.
- Organization subpart
- Yes
- Authorized official
- Glen Robison, Ceo(903) 603-9851
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
400 E State Highway 243 Ste 18
Canton, TX 75103-2445
Phone: (903) 287-5011
Fax: (903) 802-7125
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1610
Athens, TX 75751-1610
Other names (DBA / former)
- Former legal business name
- East Texas Community Clinic, Inc.
Registry dates
- Enumerated
- 2025-01-31
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.