Organization
COMMUNITY HEALTH CLINICS OF NORTHEAST TEXAS
Active
Other names
Total Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN F WILDER (CFO)
(903) 533-7400
Entity
Organization
Contact information
Practice address
928 N GLENWOOD BLVD, TYLER, TX 75702-5055
(903) 526-4900
(903) 526-4907
Mailing address
928 N GLENWOOD BLVD, TYLER, TX 75702-5055
(903) 533-7400
(903) 533-7409
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1383606-17
—
TX
Enumeration date
11/09/2007
Last updated
06/21/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us