Community Health Clinics of Northeast Texas

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COMMUNITY HEALTH CLINICS OF NORTHEAST TEXAS

Practice address

928 N Glenwood Blvd
Tyler, TX 75702-5055

Phone

(903) 533-7400

Fax

(903) 533-7409

NPI assigned

Nov 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bryan F Wilder

Title

Cfo

Phone

(903) 533-7400

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Total Healthcare Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1376723072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 N GLENWOOD BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025055",
            "telephone_number": "903-533-7400",
            "fax_number": "903-533-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 N GLENWOOD BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025055",
            "telephone_number": "903-533-7400",
            "fax_number": "903-533-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CLINICS OF NORTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-533-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190650501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Roynald Combs, PH.D.
• Natalye Combs, MSN, APRN, FNP-C
• Community Access, Inc
• Community Health Clinic of Northeast Texas
• Community Health Clinics of Northeast Texas
• Community Health Clinics of Northeast Texas
• Community Health Clinics of Northeast Texas
• Compass Chiropractic PLLC
• Compass Hospice of East Texas LLC
• Compass Neurology

• Federally Qualified Health Center (FQHC) in Tyler, TX
• Providers in Tyler, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.