Organization
NORTHEAST TEXAS PUBLIC HEALTH DISTRICT
Active
Organization
NORTHEAST TEXAS PUBLIC HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE T. ROBERTS JR. FACHE (CHIEF EXECUTIVE OFFICER)
(903) 535-0036
Entity
Organization
Contact information
Practice address
815 N. BROADWAY, TYLER, TX 75702-4507
(903) 535-0033
(903) 535-0052
Mailing address
815 N BROADWAY AVE, TYLER, TX 75702-4507
(903) 535-0033
(903) 535-0052
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/25/2006
Last updated
09/26/2024
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