Texas Spine and Joint Hospital, LLC
Organization Active NPI Urgent Care Clinic/Center · Tyler, TX
NPI 1780121210 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1780121210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- TEXAS SPINE AND JOINT HOSPITAL, LLC
- Practice address
- 8101 S Broadway Ave
Tyler, TX 75703-5469 - Phone
- (903) 939-0920
- NPI assigned
- Jan 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Tony Wahl
- Title
- Officer / Authorized Official
- Phone
- (903) 525-3300
Corporate family (same tax ID) 2
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2049967 | Baylor Scott & White Texas Spine & Joint Hospital | Certificate of waiver | Nov 15, 2026 |
National Provider Directory
- Tax ID family
- Texas Spine and Joint Hospital LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
8101 S Broadway Ave
Tyler, TX 75703-5469
Mailing address
1814 Roseland Blvd
Tyler, TX 75701-4234
Phone (903) 525-3330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162459501 | Medicaid | TX |
Other names
- Baylor Scott & White TX Spine & Joint Hosp Urgent Care
Other providers in Tyler, TX
- Texas Forward Visions, I. P.C.
- Texas Health Care Group of Longview, LLC
- Texas Oncology, P.a.
- Texas Palliative Care
- Texas Physical Therapy Services of Tyler, LLC
- Texas Spine and Joint Hospital, LLC
- Hannah Thacker
- Sivagowri Tharmendira
- The Bradley Clinic of Texas, PLLC
- The Breath Clinic LLC
All providers in Tyler, TX · Urgent Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.