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

East Texas Medical Center Crockett

Organization Ambulatory Surgical Clinic/Center · NPI 1619941291

East Texas Medical Center Crockett is an Ambulatory Surgical Clinic/Center in Crockett, Texas. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1100 E Loop 304
Crockett, TX 75835-1810
Phone: (936) 546-3862
Fax: (936) 546-3816
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1619941291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Dise — Business Office Director · (936) 546-3810
NPI enumeratedFebruary 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1129, Crockett, TX 75835-1129

Other providers in Crockett