| NPI | 1609298132 |
|---|---|
| Doing Business As | MIDTOWN CLINIC OF TYLER |
| Entity Type | Organization |
| Authorized Contact | JESSICA ROLDAN CEO 903-234-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2025-11-18 |