P Praxis·MD
● Active Type 2 · Organization

East Texas Medical Center

Clinic/Center·Crockett, TX· NPI 1962483453 · Enumerated 2005 · 20 years on NPI
East Texas Medical Center is 1 of 689 clinic/center organizations in Texas.
NPI age
20 years
Enumerated 2005-11-10
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cutler
Administrator
Last NPPES update
2015-02-24
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

2005-11Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
1100 E Loop 304, Suite 200
Crockett, TX 758351810
📞 9365445132fax 9365443792
Mailing address
Po Box 1304
Pittsburg, TX 756862203
📞 9365445132fax 9365443792

Authorized official

Terry Cutler
Administrator
📞 9365463862

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

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

Identifiers

TypeValueNotes
05 (TX) 095181602

Other names on file (1)

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

  • ETMC Crockett Family Medical Center RHC
    Type code 3 recorded 2005-11-10

Practice context

Multi-provider organization. 5 individual providers 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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