East Texas Medical Center Jacksonville is a health care provider in Jacksonville, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1325 N Dickinson Dr, Rusk, TX 75785-1051, US|
|Practice Location Phone||903-683-3600|
|Practice Location Fax||903-683-3692|
|Legal Business Name||EAST TEXAS MEDICAL CENTER JACKSONVILLE|
|Other Organization Name||ETMC FIRST PHYSICIANS CLINIC RUSK|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Mar 22, 2010|
|Last Update Date ?||Oct 31, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Rural Health|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the East Texas Medical Center Jacksonville's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Jack R Endres|
|Authorized Official Title/Position||ADMINISTRATOR|
|Authorized Official Phone Number||903-541-5100|