| Northeast Texas Public Health District | |
|
815 N Broadway Ave Tyler TX 75702-4507 | |
| (903) 535-0033 | |
| (903) 535-0052 |
| Full Name | Northeast Texas Public Health District |
|---|---|
| Speciality | Clinic/Center |
| Location | 815 N Broadway Ave, Tyler, Texas |
| Authorized Official Name and Position | Dawn Strickland (DIRECTOR OF REVENUE STRATEGIES) |
| Authorized Official Contact | 9035350033 |
| 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 Ave Tyler TX 75702-4507 Ph: (903) 535-0033 |
| NPI Number | 1679150445 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 7012984768 |
|---|---|
| Medicare Enrollment ID | O20210326002003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679150445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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