NPI age
1 years
Enumerated 2025-01-31
● Active Type 2 · Organization
Subpart
East Texas Community Clinic, Inc.
East Texas Community Clinic, Inc. is 1 of 894 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Robison
Ceo
Last NPPES update
2025-01-31
Source: monthly bulk 2026-05
How this organization compares
Across 894 active clinic/center providers in Texas.
NPI age
1 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-01Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
400 E State Highway 243 Ste 18
Canton, TX 751032445
Mailing address
Po Box 1610
Athens, TX 757511610
Authorized official
Glen W Robison
Ceo
📞 9036039851
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Jonathan David, D.O. Family Medicine NPI 1336594738
- Paul Stewart, FNP-C Nurse Practitioner NPI 1699315192
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
East Texas Community Clinic, Inc.
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of East Texas Community Clinic, Inc..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.