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Organization

TYLER FAMILY CIRCLE OF CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORETTA SWAN (BOARD CHAIRPERSON)
(903) 510-1113
Entity
Organization

Contact information

Practice address
214 E HOUSTON ST, TYLER, TX 75702-8131
(903) 535-9041
Mailing address
PO BOX 844273, DALLAS, TX 75284-4273
(903) 535-9041
(903) 531-9490

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
311152804
TX
Enumeration date
08/22/2013
Last updated
08/17/2018
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