Organization · Type 2 NPI

Community Health Clinics of Northeast Texas

Federally Qualified Health Center (FQHC) · Tyler, TX

NPI number 1275713976 Active

Practice location

928 N Glenwood Blvd
Tyler, TX 75702-5055

Fax (903) 526-4907

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1275713976

Community Health Clinics of Northeast Texas's National Provider Identifier is 1275713976, issued on Nov 9, 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 Jun 21, 2010.