DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EAST TEXAS BORDER HEALTH CLINIC

MEDICARE: EAST TEXAS BORDER HEALTH CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30089LZOTHERTXBLUECROSS BLUESHIELD

General Provider Information

NPI Number : 1558329797
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST TEXAS BORDER HEALTH CLINIC
Provider Business Mailing Address
First Line : PO BOX 1326
Second Line :
City : MARSHALL
State : TX
Zip : 75671-1326
Country : US
Telephone Number : 903-927-3782
Fax Number : 903-927-1764
Provider Business Practice Location Address
First Line : 805 LINDSEY DR
Second Line :
City : MARSHALL
State : TX
Zip : 75670-5271
Country : US
Telephone Number : 903-938-1146
Fax Number : 903-927-2434
Authorized Official
Title or Position : CEO
Name : CARLA ROADCAP
Credential :
Telephone Number : 903-927-3782
Provider Enumeration Date : 05/03/2006
Last Update Date : 06/13/2024

Similar Medicare Providers

1083611057 — MARY S ANDERSON MD
Practice Location Address:
805 LINDSEY DR
MARSHALL, TX
75670-5271
Practice Phone: 903-938-1146
Practice Fax: 903-927-1764
1750361085 — HARRISON COUNTY HOSPITAL ASSOCIATION
Practice Location Address:
805 LINDSEY DR
MARSHALL, TX
75670-5271
Practice Phone: 903-927-6065
Practice Fax:
1073586475 — HARRISON COUNTY HOSPITAL ASSOCIATION
Practice Location Address:
805 LINDSEY DR
MARSHALL, TX
75670-5271
Practice Phone: 903-927-6315
Practice Fax:
1215032636 — VERONICA MCCOY R.N, M.S.N., C.F.N.P
Practice Location Address:
805 LINDSEY DR
MARSHALL, TX
75670-5271
Practice Phone: 903-938-1146
Practice Fax: 903-927-1764
1831454529 — XIAOMEI ZHOU FNP
Practice Location Address:
805 LINDSEY DR
MARSHALL, TX
75670-5271
Practice Phone: 903-927-6140
Practice Fax: 903-927-6117
1679824510 — LATAUSHA TOMEKA GASKIN PA-C
Practice Location Address:
805 LINDSEY DR
MARSHALL, TX
75670-5271
Practice Phone: 903-927-6140
Practice Fax: 903-927-6117

Directions to “EAST TEXAS BORDER HEALTH CLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.