Special Health Resources for Texas Incorporated

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED

Practice address

825 Medical Dr
Tyler, TX 75701-2143

Phone

(903) 533-0733

Fax

(903) 939-0049

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Kim Dale Nesvig

Title

Chief Executive Officer

Phone

(903) 234-0776

Specialties & licenses 1

Addresses

Other names 1

• WOMEN'S HEALTH TYLER Doing business as

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1982198057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2709",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062709",
            "telephone_number": "903-234-0776",
            "fax_number": "903-234-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MEDICAL DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012143",
            "telephone_number": "903-533-0733",
            "fax_number": "903-939-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "NESVIG",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "903-234-0776"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMEN'S HEALTH TYLER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOMEN'S HEALTH TYLER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Nicole Sparks, COTA
• Mariellen Angela Speaker, FNP
• Magen Brook Spears Davis, RN
• Lindsey Nicole Spears
• Shane Foree Spears, PA-C, CCP
• Special Health Resources for Texas, Incorporated
• Special Health Resources for Texas, Incorporated
• Special Needs Solutions, LLC
• Specialty Hospital, LLC
• Speech Language and Auditory Learning

• 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, 2018; 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.