Tyler Women And Childrens Clinic | |
4519 Troup Hwy Tyler TX 75703-2350 | |
(903) 289-9252 | |
(903) 630-5456 |
Full Name | Tyler Women And Childrens Clinic |
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Speciality | Clinic/Center |
Location | 4519 Troup Hwy, Tyler, Texas |
Authorized Official Name and Position | Shaun'ta Whitehead (CEO) |
Authorized Official Contact | 9032127811 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tyler Women And Childrens Clinic Po Box 2709 Longview TX 75606-2709 Ph: (903) 234-0776 | Tyler Women And Childrens Clinic 4519 Troup Hwy Tyler TX 75703-2350 Ph: (903) 289-9252 |
NPI Number | 1184103285 |
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Provider Enumeration Date | 08/09/2018 |
Last Update Date | 01/26/2024 |
Medicare PECOS PAC ID | 1355326158 |
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Medicare Enrollment ID | O20181016000873 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184103285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 | |
Bwbl Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6770 Old Jacksonville Hwy Ste 101, Tyler, TX 75703 Phone: 903-352-3250 Fax: 903-221-9183 |