EAST TEXAS MEDICAL CLINIC,P.A
NPI 1255729323
Clinic/Center - Primary Care in Center, TX

Active since December 24, 2014
1743 SOUTHVIEW CIR, CENTER, TX 75935(936) 591-8888(936) 591-8884 Get Directions Write a Review

NPPES record last updated: December 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Texas Medical Clinic,p.a NPPES

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

EAST TEXAS MEDICAL CLINIC,P.A (NPI 1255729323) is a healthcare organization registered as a primary care in Center, Texas and active in the NPI registry since December 2014. The organization lists Ajitha Chandramohan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1255729323
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEAST TEXAS MEDICAL CLINIC,P.A
Location Address1743 SOUTHVIEW CIRCenter, TX 75935-9324
Mailing Address1743 Southview CirCenter, TX 75935-9324 · (936) 591-8888 · Fax (936) 591-8884
Fax(936) 591-8884
Organization SubpartNo
Authorized OfficialAjitha ChandramohanMedical Director · (936) 591-8888
Enumeration DateDecember 24, 2014
NPI 1255729323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TX · K7000
1743 SOUTHVIEW CIR, Center, TX 75935

Other Identifiers 1

Medicare UPING858981TX

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1743 SOUTHVIEW CIR
CENTER, TX 75935
Nurse Practitioner (Primary Care)
1743 SOUTHVIEW CIR
CENTER, TX 75935
Nurse Practitioner (Family)
1743 SOUTHVIEW CIR
CENTER, TX 75935
Internal Medicine
1743 SOUTHVIEW CIR
CENTER, TX 75935
Internal Medicine
1743 SOUTHVIEW CIR
CENTER, TX 75935
Clinic/Center (Rural Health)
1743 SOUTHVIEW CIR
CENTER, TX 75935

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 Medical Clinic,p.A's NPI number?

The NPI number for East Texas Medical Clinic,p.A is 1255729323. It was assigned to this organization in the NPPES registry on December 24, 2014.

Where is East Texas Medical Clinic,p.A located?

East Texas Medical Clinic,p.A is located at 1743 Southview Cir, Center, TX 75935. The listed phone number is (936) 591-8888.

What is East Texas Medical Clinic,p.A's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for East Texas Medical Clinic,p.A was last updated on December 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.