ETMC FIRST PHYSICIANS CLINIC JACKSONVILLE
NPI 1821366170
Clinic/Center - Rural Health in Jacksonville, TX

Q: What is East Texas Medical Center Jacksonville's specialty?

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

Active since December 01, 2011

203 NACOGDOCHES ST, SUITE 280, JACKSONVILLE, TX 75766(903) 541-5396(903) 541-5393 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Etmc First Physicians Clinic Jacksonville NPPES

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

ETMC FIRST PHYSICIANS CLINIC JACKSONVILLE (NPI 1821366170) is a healthcare organization registered as a rural health in Jacksonville, Texas and active in the NPI registry since December 2011. The organization lists Jack R Endres, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821366170

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameEAST TEXAS MEDICAL CENTER JACKSONVILLE

Location Address203 NACOGDOCHES ST, SUITE 280Jacksonville, TX 75766-2444

Mailing Address501 S Ragsdale St, AdministrationJacksonville, TX 75766-2434 · (903) 541-5100 · Fax (903) 541-5068

Phone(903) 541-5396

Fax(903) 541-5393

Organization SubpartNo

Authorized OfficialJack R EndresAdministrator · (903) 541-5100

Enumeration DateDecember 1, 2011

Last NPPES UpdateNovember 8, 2012

✔ NPI 1821366170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

203 NACOGDOCHES ST, Jacksonville, TX 75766

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Other Names 1

Doing Business AsEtmc First Physicians Clinic Jacksonville

Other Identifiers 3

Medicaid130612807TX

Medicare OSCAR/certification673400TX

Other130612808TX · Thsteps

Other Providers at the Same Location NPPES 9

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

SURGICAL ASSOCIATES OF CHEROKEE COUNTY PA

Surgery

203 NACOGDOCHES ST, SUITE 260
JACKSONVILLE, TX 75766

Cherokee County (903) 634-7684

MRS. TRACI CAMERON NP

Nurse Practitioner (Pediatrics)

203 NACOGDOCHES ST, SUITE 280
JACKSONVILLE, TX 75766

Cherokee County (903) 541-5455

DR. ADAM T NEWMAN MD

Obstetrics & Gynecology (Obstetrics)

203 NACOGDOCHES ST, SUITE 280
JACKSONVILLE, TX 75766

Cherokee County (903) 541-5390

COURTNEY E ROSE D.O.

Pediatrics

203 NACOGDOCHES ST, SUITE 275
JACKSONVILLE, TX 75766

Cherokee County (309) 541-5472

MARK CHRISTOPHER RACE MD

Physical Medicine & Rehabilitation

203 NACOGDOCHES ST, STE 350
JACKSONVILLE, TX 75766

Cherokee County (903) 586-6841

JAMES A. THUROW, D.O., P.A.

Internal Medicine

203 NACOGDOCHES ST, SUITE 180
JACKSONVILLE, TX 75766

Cherokee County (903) 589-9858

DR. GUILLERMO ALFONSO SAADE MD

Internal Medicine

203 NACOGDOCHES ST, STE 290
JACKSONVILLE, TX 75766

Cherokee County (903) 586-0591

DOGWOOD ORTHOPAEDIC CLINIC, PA

Durable Medical Equipment & Medical Supplies

203 NACOGDOCHES ST, SUITE 150
JACKSONVILLE, TX 75766

Cherokee County (903) 586-6289

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 Jacksonville's NPI number?

The NPI number for East Texas Medical Center Jacksonville is 1821366170. It was assigned to this organization in the NPPES registry on December 1, 2011. The provider is doing business as Etmc First Physicians Clinic Jacksonville.

Where is East Texas Medical Center Jacksonville located?

East Texas Medical Center Jacksonville is located at 203 Nacogdoches St Suite 280, Jacksonville, TX 75766. The listed phone number is (903) 541-5396.

What is East Texas Medical Center Jacksonville'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 Jacksonville was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.