Special Health Resources For Texas Incorporated
Clinic/Center, Federally Qualified Health Center (FQHC) in Tyler, TX. Organization (NPI-2).
NPI number1982198057
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1982198057
- Entity type
- Organization (NPI-2)
- Legal business name
- Special Health Resources For Texas Incorporated
- Organization subpart
- No
- Enumeration date
- Jun 21, 2018
- Last updated
- Jun 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Women'S Health Tyler (Doing Business As)
Practice location
825 Medical DrTyler, TX 75701-2143
Phone 903-533-0733 · Fax 903-939-0049
Mailing address
Po Box 2709Longview, TX 75606-2709
Phone 903-234-0776 · Fax 903-234-9769
Authorized official
Kim Dale Nesvig
Chief Executive Officer
9032340776
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