NPI | 1609298132 |
---|---|
Doing Business As | TYLER CLINIC |
Entity Type | Organization |
Authorized Contact | KIM NESVIG Interim Executive Director 903-234-0776 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-01-17 |
Last Update Date | 2023-01-05 |