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EAST TEXAS BORDER HEALTH CLINIC
NPI 1073485082
Pharmacy - Community/Retail Pharmacy in Marshall, TX

Active since September 19, 2025CLIA 45D0993333 · Waiver
1902 E END BLVD N, MARSHALL, TX 75670(903) 578-6114 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 12, 2026, Feb 2, 2026, Sep 19, 2025 (3 updates tracked since 2025).

About East Texas Border Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TEXAS BORDER HEALTH CLINIC (NPI 1073485082), doing business as Genesis Primecare Pharmacy Marshall, is a healthcare organization registered as a community/retail pharmacy in Marshall, Texas and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Julie Stowe, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073485082
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEAST TEXAS BORDER HEALTH CLINIC
Location Address1902 E END BLVD NMarshall, TX 75670
Mailing AddressPo Box 1326Marshall, TX 75671-1326
Phone(903) 578-6114
Organization SubpartNo
Authorized OfficialJulie StoweChief Financial Officer · (903) 927-3782
Enumeration DateSeptember 19, 2025
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1073485082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1902 E END BLVD N, Marshall, TX 75670
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Other Names 1

Doing Business AsGenesis Primecare Pharmacy Marshall

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0993333

East Texas Border Health Clinic Dba Genesis Primecare · Marshall, TX
Active · expires Nov 11, 2027
CLIA Number45D0993333
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorJeffory W. Beaty
Laboratory Phone(903) 927-3782
Laboratory LocationEast Texas Border Health Clinic Dba Genesis Primecare805 Lindsey Drive, Marshall, TX 75670
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Texas Border Health Clinic's NPI number?

The NPI number for East Texas Border Health Clinic is 1073485082. It was assigned to this organization in the NPPES registry on September 19, 2025. The provider is doing business as Genesis PrimeCare Pharmacy Marshall.

Where is East Texas Border Health Clinic located?

East Texas Border Health Clinic is located at 1902 E End Blvd N, Marshall, TX 75670. The listed phone number is (903) 578-6114.

What is East Texas Border Health Clinic's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does East Texas Border Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0993333) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Texas Border Health Clinic was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.