TYLER FAMILY CIRCLE OF CARE (NPI# 1720412141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720412141 |
| Entity Type | Organization |
| Organization Name | TYLER FAMILY CIRCLE OF CARE |
| Practice Address |
214 E Houston St Tyler TX 75702-8131 |
| Mailing Address |
Po Box 844273 Dallas TX 75284-4273 |
| Practice Telephone | 9035359041 |
| Mailing Telephone | 9035359041 |
| Mailing Fax Number | 9035319490 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MRS. LORETTA SWAN (BOARD CHAIRPERSON) |
| Authorized Official Telephone | 9035101113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 311152804 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144575820 | Tyler Family Circle of Care | General Practice | 928 N Glenwood Blvd, Tyler, TX 75702-5055 | 2012-07-18 |
| Street Address |
214 E HOUSTON ST |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457336265 | Mariellen Angela Speaker | Nurse Practitioner | 214 E Houston St, Tyler, TX 75702-8131 | 2005-12-14 |
| 1174865786 | Anamari Lacarra George | Pediatrics | 214 E Houston St, Tyler, TX 75702-8131 | 2013-03-21 |
| 1205198421 | Khotwanaeya Mwamba | Pediatrics | 214 E Houston St, Tyler, TX 75702-8131 | 2012-06-13 |
| 1427348408 | Anne Piott Cates | Pediatrics | 214 E Houston St, Tyler, TX 75702-8131 | 2011-04-12 |
| 1184899734 | Crystal Quigg | Social Worker | 214 E Houston St, Tyler, TX 75702-8131 | 2008-04-24 |
| 1831372127 | Mothe Frances Hospital | Case Management | 214 E Houston St, Tyler, TX 75702-8131 | 2007-12-10 |
| 1164637377 | Ola Ward | Registered Nurse | 214 E Houston St, Tyler, TX 75702-8131 | 2007-05-11 |
| 1750595278 | Linda Gauntt | Registered Nurse | 214 E Houston St, Tyler, TX 75702-8131 | 2007-05-10 |
| 1689888919 | Lorie Cox | Registered Nurse | 214 E Houston St, Tyler, TX 75702-8131 | 2007-05-09 |
| 1154535490 | Janet Allison | Registered Nurse | 214 E Houston St, Tyler, TX 75702-8131 | 2007-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103285 | Special Health Resources for Texas, Incorporated | Clinic/Center | 4519 Troup Hwy, Tyler, TX 75703-2350 | 2018-08-09 |
| 1679595540 | Health Services Inc | Clinic/Center | 8578 Us Highway 80 W, Tyler, AL 36785-5417 | 2006-07-23 |
| 1982198057 | Special Health Resources for Texas Incorporated | Clinic/Center | 825 Medical Dr, Tyler, TX 75701-2143 | 2018-06-21 |
| 1609298132 | Special Health Resources for Texas Incorporated | Clinic/Center | 1300 Clinic Dr, Tyler, TX 75701-2119 | 2014-01-17 |
| 1265613285 | Community Health Clinic of Northeast Texas | Clinic/Center | 928 N Glenwood Blvd, Tyler, TX 75702-5055 | 2007-11-19 |
| 1528249547 | Community Health Clinics of Northeast Texas | Clinic/Center | 928 N Glenwood Blvd, Tyler, TX 75702-5055 | 2007-11-19 |
| 1477742856 | Community Health Clinics of Northeast Texas | Clinic/Center | 928 N Glenwood Blvd, Tyler, TX 75702-5055 | 2007-10-22 |
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| 1275134595 | Legacy Community Health Services, Inc | Clinic/Center | 507 Crenshaw Rd., Houston, TX 77034-1543 | 2020-11-03 |
| 1912508235 | Legacy Community Health Services, Inc | Clinic/Center | 120 Westheimer Rd., Suite F, Houston, TX 77006-3332 | 2020-11-03 |
| 1720688534 | Barrio Comprehensive Family Health Care Center, Inc. | Clinic/Center | 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 | 2020-10-30 |
| 1053918516 | Legacy Community Health Services, Inc. | Clinic/Center | 13703 Aldine Westfield Rd, Houston, TX 77039-2001 | 2020-10-07 |
| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
| 1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.