Organization · Type 2 NPI

Community Health Clinic of Northeast Texas

Federally Qualified Health Center (FQHC) · Tyler, TX

NPI number 1265613285 Active

Practice location

928 N Glenwood Blvd
Tyler, TX 75702-5055

Call (903) 533-7400 Map

Mailing address

815 N Broadway Ave
Tyler, TX 75702-4507

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1265613285

Community Health Clinic of Northeast Texas's National Provider Identifier is 1265613285, issued on Nov 19, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Tyler, TX. The record was last updated on Nov 19, 2007.