Organization · Type 2 NPI
East Texas Family Support Clinic
Pain Clinic/Center · Tyler, TX
NPI number
1699315499
Active
Practice location
1305 Doctors Dr
Tyler, TX 75701-2263
Fax (903) 525-9398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Medical Specialty Clinic/Center | 261QM2500X | None listed |
| Pain Clinic/Center Primary | 261QP3300X | None listed |
Pain Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1699315499
East Texas Family Support Clinic's National Provider Identifier is 1699315499, issued on Jan 9, 2020. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Tyler, TX. The record was last updated on Jun 11, 2020.