| Northeast Texas Public Health District | |
|
815 N. Broadway Tyler TX 75702-4507 | |
| (903) 535-0033 | |
| (903) 535-0052 |
| Full Name | Northeast Texas Public Health District |
|---|---|
| Speciality | Clinic/Center |
| Location | 815 N. Broadway, Tyler, Texas |
| Authorized Official Name and Position | George T. Roberts (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9035350036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Texas Public Health District 815 N Broadway Ave Tyler TX 75702-4507 Ph: (903) 535-0033 | Northeast Texas Public Health District 815 N. Broadway Tyler TX 75702-4507 Ph: (903) 535-0033 |
| NPI Number | 1699745208 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 7012984768 |
|---|---|
| Medicare Enrollment ID | O20040913001200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699745208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Valerie B Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073625737 PECOS PAC ID: 4688045073 Enrollment ID: I20230123001325 |
Pure Radiance Laser Retreat Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6722 S Broadway Ave, Tyler, TX 75703 Phone: 903-561-0300 | |
Clifford D. Mullins, D.c., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14653 Eastside Rd, Tyler, TX 75707 Phone: 903-566-4449 | |
Frank P Reuter Jr Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 S Bois D Arc Ave, Tyler, TX 75701 Phone: 903-597-5579 Fax: 903-597-5722 | |
David W Ball Md Internal Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5407 New Copeland Rd Ste 200, Tyler, TX 75703 Phone: 903-330-2081 Fax: 903-630-9309 | |
Integrity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 Old Bullard Rd Ste B, Tyler, TX 75703 Phone: 903-630-5595 Fax: 903-630-5599 | |
Clinica Hispana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S Southwest Loop 323 Ste 140, Tyler, TX 75702 Phone: 903-530-0240 | |
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