Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Texas Community Clinic, Inc

Organization Family Medicine Physician · NPI 1215522974

East Texas Community Clinic, Inc is a Family Medicine Physician in Athens, Texas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Medical Cir Ste 100
Athens, TX 75751-9004
Phone: (903) 603-7067
Fax: (903) 802-7125
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Community Health Clinic/Center Taxonomy 261QC1500X

Record details

NPI number1215522974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Robison — Ceo · (903) 603-9851
NPI enumeratedMarch 4, 2021
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing addressPo Box 1610, Athens, TX 75751-1610

Other providers in Athens