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EAST TEXAS COMMUNITY CLINIC, INC.
NPI 1497568513
Clinic/Center - Federally Qualified Health Center (FQHC) in Canton, TX

Active since January 31, 2025
400 E STATE HIGHWAY 243 STE 18, CANTON, TX 75103(903) 287-5011(903) 802-7125 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Texas Community Clinic, Inc. NPPES

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

EAST TEXAS COMMUNITY CLINIC, INC. (NPI 1497568513) is a healthcare organization registered as a federally qualified health center (fqhc) in Canton, Texas and active in the NPI registry since January 2025. The organization lists Glen W Robison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497568513
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST TEXAS COMMUNITY CLINIC, INC.
Location Address400 E STATE HIGHWAY 243 STE 18Canton, TX 75103-2445
Mailing AddressPo Box 1610Athens, TX 75751-1610 · (903) 603-9851 · Fax (903) 802-7125
Phone(903) 287-5011
Fax(903) 802-7125
Organization SubpartYes
Authorized OfficialGlen W RobisonCeo · (903) 603-9851
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1497568513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
400 E STATE HIGHWAY 243 STE 18, Canton, TX 75103
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Other Names 1

Former Legal Business NameEast Texas Community Clinic, Inc.

Other Providers at the Same Location NPPES 2

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

JONATHAN CHARLES DAVID D.O.
Family Medicine
400 E STATE HIGHWAY 243 STE 18
CANTON, TX 75103
Van Zandt County (903) 287-5011
PAUL STEWART FNP-C
Nurse Practitioner (Family)
400 E STATE HIGHWAY 243 STE 18
CANTON, TX 75103
Van Zandt County (903) 287-5011

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 Community Clinic, Inc.'s NPI number?

The NPI number for East Texas Community Clinic, Inc. is 1497568513. It was assigned to this organization in the NPPES registry on January 31, 2025.

Where is East Texas Community Clinic, Inc. located?

East Texas Community Clinic, Inc. is located at 400 E State Highway 243 Ste 18, Canton, TX 75103. The listed phone number is (903) 287-5011.

What is East Texas Community Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for East Texas Community Clinic, Inc. was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.