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ETMC FIRST PHYSICIANS CLINIC CENTER III
NPI 1629314539
Clinic/Center - Rural Health in Carthage, TX

Active since December 20, 2012
305 COTTAGE RD, CARTHAGE, TX 75633(936) 590-4035(936) 590-4146 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Etmc First Physicians Clinic Center Iii NPPES

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

ETMC FIRST PHYSICIANS CLINIC CENTER III (NPI 1629314539) is a healthcare organization registered as a rural health in Carthage, Texas and active in the NPI registry since December 2012. The organization lists Gary M Hudson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629314539
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEAST TEXAS MEDICAL CENTER CARTHAGE
Location Address305 COTTAGE RDCarthage, TX 75633-1511
Mailing Address409 Cottage RdCarthage, TX 75633-1466 · (903) 694-4652 · Fax (903) 694-4625
Phone(936) 590-4035
Fax(936) 590-4146
Organization SubpartYes
Authorized OfficialGary M HudsonAdministrator · (903) 694-4652
Enumeration DateDecember 20, 2012
Last NPPES UpdateAugust 14, 2014
✔ NPI 1629314539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
305 COTTAGE RD, Carthage, TX 75633
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Other Names 1

Doing Business AsEtmc First Physicians Clinic Center Iii

Other Identifiers 3

Medicaid3187015-01TX
Medicare OSCAR/certification673408
Medicaid3187015-02TX

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.

MRS. CICILY DIANNE CROSS-BLAIR FNP
Nurse Practitioner (Family)
305 COTTAGE RD
CARTHAGE, TX 75633
Panola County (903) 694-4948
CARTHAGE HOSPITAL, LLC
Clinic/Center (Rural Health)
305 COTTAGE RD
CARTHAGE, TX 75633
Panola County (903) 694-4948

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 Center Carthage's NPI number?

The NPI number for East Texas Medical Center Carthage is 1629314539. It was assigned to this organization in the NPPES registry on December 20, 2012. The provider is doing business as Etmc First Physicians Clinic Center III.

Where is East Texas Medical Center Carthage located?

East Texas Medical Center Carthage is located at 305 Cottage Rd, Carthage, TX 75633. The listed phone number is (936) 590-4035.

What is East Texas Medical Center Carthage's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for East Texas Medical Center Carthage was last updated on August 14, 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.