EAST TEXAS FAMILY SUPPORT CLINIC


Address: 1305 Doctors Dr, Tyler, TX 75701-2263
Phone: 9035259397

EAST TEXAS FAMILY SUPPORT CLINIC (NPI# 1699315499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699315499
Entity Type Organization
Organization Name EAST TEXAS FAMILY SUPPORT CLINIC
Practice Address 1305 Doctors Dr
Tyler
TX 75701-2263
Practice Telephone 9035259397
Practice Fax Number 9035259398
Mailing Telephone 9035259397
Mailing Fax Number 9035259398
Enumeration Date 2020-01-09
Last Update Date 2020-06-11
Authorized Official Name JENNIFER A BLAKE (OWNER)
Authorized Official Telephone 9545572775
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities
Y 261QP3300X Clinic/Center
Specialization: Pain
Ambulatory Health Care Facilities

Office Location

Street Address 1305 DOCTORS DR
City TYLER
State TX
Zip Code 75701-2263

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396350039 Lorna Casey Blakney Nurse Practitioner 1305 Doctors Dr, Tyler, TX 75701-2263 2020-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659987576 Greater Houston Pain & Injury, Inc Clinic/Center 4411 Bluebonnet Dr Ste 100, Stafford, TX 77477-2912 2020-09-16
1538706718 Consultants In Pain Medicine, Pa Clinic/Center 332 W Sunset Rd Ste 3, San Antonio, TX 78209-1755 2019-12-05
1982249405 Ikon Pain Management Consultants Pllc Clinic/Center 8300 Douglas Ave Ste 800, Dallas, TX 75225-5826 2019-11-07
1700443298 Synapse Pain Management, Pllc Clinic/Center 6760 Pistoia Dr, Frisco, TX 75034-2381 2019-05-21
1306302062 Quicksilver Billing Clinic/Center 14215 Marin Dr, Cypress, TX 77429-4962 2019-02-18
1518458215 Centers for Pain Relief Pllc Clinic/Center 2416 W Holcombe Blvd Ste A, Houston, TX 77030-1902 2018-05-29
1942797527 Mansfield Pain Services, LLC Clinic/Center 305 Regency Pkwy Ste 805, Mansfield, TX 76063-3794 2018-04-18
1427554880 Pain Institute of Laredo Clinic/Center 5401 Mcpherson Rd Ste 9, Laredo, TX 78041 2018-04-04
1588165344 Revolution Pain Management, Pllc Clinic/Center 1485 Fm 1960 Bypass Rd E Ste 360, Humble, TX 77338-3964 2018-02-26
1427562891 Midcounty Pain Services, LLC Clinic/Center 2501 Jimmy Johnson Blvd Ste 201b, Port Arthur, TX 77640-2009 2017-11-21
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Competitor

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City TYLER
Zip Code 75701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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