| Tyler Family Circle Of Care | |
|
214 E Houston St Tyler TX 75702-8131 | |
| (903) 535-9041 | |
| Not Available |
| Full Name | Tyler Family Circle Of Care |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 214 E Houston St, Tyler, Texas |
| Authorized Official Name and Position | Loretta Swan (BOARD CHAIRPERSON) |
| Authorized Official Contact | 9035101113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Family Circle Of Care Po Box 844273 Dallas TX 75284-4273 Ph: (903) 535-9041 | Tyler Family Circle Of Care 214 E Houston St Tyler TX 75702-8131 Ph: (903) 535-9041 |
| NPI Number | 1720412141 |
|---|---|
| Provider Enumeration Date | 08/22/2013 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720412141 | NPI | - | NPPES |
| 311152804 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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