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ETMC FIRST PHYSICIANS CLINIC MINEOLA 2
NPI 1639184369
Clinic/Center - Rural Health in Mineola, TX

Active since July 30, 2006
1220 N PACIFIC AVE, STE 2, MINEOLA, TX 75773(903) 569-0610(903) 569-0676 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Etmc First Physicians Clinic Mineola 2 NPPES

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

ETMC FIRST PHYSICIANS CLINIC MINEOLA 2 (NPI 1639184369) is a healthcare organization registered as a rural health in Mineola, Texas and active in the NPI registry since July 2006. The organization lists Thomas O'gorman, Regional Cfo, as its authorized official.

NPPES Registry Identity

NPI1639184369
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEAST TEXAS MEDICAL CENTER QUITMAN
Location Address1220 N PACIFIC AVE, STE 2Mineola, TX 75773-1054
Mailing AddressP.o. Box 1304Pittsburg, TX 75686-2203 · (903) 946-5519 · Fax (903) 946-5531
Phone(903) 569-0610
Fax(903) 569-0676
Organization SubpartNo
Authorized OfficialThomas O'gormanRegional Cfo · (903) 946-5520
Enumeration DateJuly 30, 2006
Last NPPES UpdateAugust 5, 2010
✔ NPI 1639184369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1220 N PACIFIC AVE, Mineola, TX 75773
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Other Names 1

Doing Business AsEtmc First Physicians Clinic Mineola 2

Other Identifiers 3

Medicare ID-Type Unspecified458840TX
Medicaid017624006TX
Medicaid017624004TX

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 Quitman's NPI number?

The NPI number for East Texas Medical Center Quitman is 1639184369. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Etmc First Physicians Clinic Mineola 2.

Where is East Texas Medical Center Quitman located?

East Texas Medical Center Quitman is located at 1220 N Pacific Ave Ste 2, Mineola, TX 75773. The listed phone number is (903) 569-0610.

What is East Texas Medical Center Quitman'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 Quitman was last updated on August 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.