P Praxis·MD
● Active Type 2 · Organization

East Texas Medical Center Quitman

Clinic/Center·Van, TX· NPI 1134115660 · Enumerated 2005 · 20 years on NPI
East Texas Medical Center Quitman is 1 of 689 clinic/center organizations in Texas.
NPI age
20 years
Enumerated 2005-09-20
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
O'Gorman
Regional Cfo
Last NPPES update
2010-06-14
Source: monthly bulk 2026-05

How this organization compares

Across 689 active clinic/center providers in Texas.

NPI age
20 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
113 W Main St
Van, TX 757902883
📞 9039638303fax 9039635863
Mailing address
113 W Main St
Van, TX 757902883
📞 9039638303fax 9039635863

Authorized official

Thomas O'Gorman
Regional Cfo
📞 9039465500

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Gina Blount, RN, FNP-C Nurse Practitioner NPI 1689624512

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QR1300X

Identifiers

TypeValueNotes
05 (TX) 063353901
05 (TX) 017625701

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ETMC First Physicians Clinic Van
    Type code 3 recorded 2008-06-19

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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