ETMC PHYSICIAN GROUP INC.
NPI 1154998433
Clinic/Center - Rural Health in Bullard, TX
About Etmc Physician Group Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETMC PHYSICIAN GROUP INC. (NPI 1154998433) is a healthcare organization registered as a rural health in Bullard, Texas and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Stephen C. Petrovich, Evp, General Counsel, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 45D1056818
Etmc Physician Group, Inc · Bullard, TXOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Etmc Physician Group Inc.'s NPI number?
The NPI number for Etmc Physician Group Inc. is 1154998433. It was assigned to this organization in the NPPES registry on June 7, 2021.
Where is Etmc Physician Group Inc. located?
Etmc Physician Group Inc. is located at 435 Doctor M Roper Pkwy N, Bullard, TX 75757. The listed phone number is (903) 894-3912.
What is Etmc Physician Group Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Etmc Physician Group Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D1056818) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Etmc Physician Group Inc. was last updated on June 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
