NPI age
14 years
Enumerated 2011-12-01
● Active Type 2 · Organization
East Texas Medical Center Jacksonville
East Texas Medical Center Jacksonville is 1 of 689 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Endres
Administrator
Last NPPES update
2012-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 689 active clinic/center providers in Texas.
NPI age
14 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
203 Nacogdoches St, Suite 280
Jacksonville, TX 757662444
Mailing address
501 S Ragsdale St, Administration
Jacksonville, TX 757662434
Authorized official
Jack R Endres
Administrator
📞 9035415100
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Traci Cameron, NP Nurse Practitioner NPI 1053635391
- Adam Newman, MD Obstetrics & Gynecology NPI 1154310688
- Todd Parrish, MD Orthopaedic Surgery NPI 1861491920
- Mark Race, MD Physical Medicine & Rehabilitation NPI 1457351066
- Courtney Rose, D.O. Pediatrics NPI 1265727457
- Guillermo Saade, MD Internal Medicine NPI 1760464366
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 130612807 | |
| 01 (TX) | 130612808 | THSTEPS |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ETMC First Physicians Clinic Jacksonville
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- 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.