Organization · Type 2 NPI

Community Health Clinics of Northeast Texas

Federally Qualified Health Center (FQHC) · Tyler, TX

NPI number 1376723072 Active

Practice location

928 N Glenwood Blvd
Tyler, TX 75702-5055

Call (903) 533-7400 Map

Fax (903) 533-7409

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1376723072

Community Health Clinics of Northeast Texas's National Provider Identifier is 1376723072, 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.