| Total Healthcare Center | |
|
928 N Glenwood Blvd Tyler TX 75702-5055 | |
| (903) 533-7400 | |
| (903) 533-7409 |
| Full Name | Total Healthcare Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 928 N Glenwood Blvd, Tyler, Texas |
| Authorized Official Name and Position | Bryan F Wilder (CFO) |
| Authorized Official Contact | 9035337400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Healthcare Center 928 N Glenwood Blvd Tyler TX 75702-5055 Ph: (903) 533-7400 | Total Healthcare Center 928 N Glenwood Blvd Tyler TX 75702-5055 Ph: (903) 533-7400 |
| NPI Number | 1477742856 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477742856 | NPI | - | NPPES |
| 190636401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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