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East Texas Family Support Clinic
Pain Clinic/Center in Tyler, Texas
NPI 1699315499

East Texas Family Support Clinic is a Pain Clinic/Center based in Tyler, TX and is specialized in Pain. East Texas Family Support Clinic practices in Tyler, TX. The NPI Number for East Texas Family Support Clinic is 1699315499 and holds a License No. (Texas).

The current practice location address for East Texas Family Support Clinic is 1305 Doctors Dr, Tyler, TX and can be reached out via phone at 903-525-9397 and via fax at 903-525-9398.

Location: 1305 Doctors Dr, Tyler, TX, 75701-2263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699315499
Provider Name
East Texas Family Support Clinic
Credential
Provider Entity Type
Organization
Address
1305 Doctors Dr, Tyler, TX, 75701-2263
Phone Number
903-525-9397
Fax Number
903-525-9398
Provider Enumeration Date
01/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1305 Doctors Dr
City
Tyler
State
Texas
Zip
75701-2263
Phone Number
903-525-9397
Fax Number
903-525-9398
person
Provider Business Mailing Address Details
Address
1305 Doctors Dr
City
Tyler
State
Texas
Zip
75701-2263
Phone Number
903-525-9397
Fax Number
903-525-9398
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
()
Definition
Definition to come...
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