Organization
CENIKOR FOUNDATION
Active
Parent organization
CENIKOR FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENIKOR FOUNDATION
Authorized official
MATT KUHLMAN (CFO)
(713) 266-9944
Entity
Organization
Contact information
Practice address
1827 W GENTRY PKWY, TYLER, TX 75702-3929
(713) 266-9944
Mailing address
PO BOX 4785, MSC 675, HOUSTON, TX 77210
(713) 266-9944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348629201
—
TX
Enumeration date
03/19/2015
Last updated
09/29/2025
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