SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED (NPI# 1982198057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982198057 |
| Entity Type | Organization |
| Organization Name | SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED |
| Other Organization Name | WOMEN'S HEALTH TYLER |
| Practice Address |
825 Medical Dr Tyler TX 75701-2143 |
| Mailing Address |
Po Box 2709 Longview TX 75606-2709 |
| Practice Telephone | 9035330733 |
| Practice Fax Number | 9039390049 |
| Mailing Telephone | 9032340776 |
| Mailing Fax Number | 9032349769 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | KIM DALE NESVIG (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9032340776 |
| 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 |
| Other Name | Type Code |
|---|---|
| WOMEN'S HEALTH TYLER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831661412 | Special Health Resources for Texas Incorporated | Clinic/Center | 1911 Galleria Oaks Dr, Texarkana, TX 75503-4617 | 2018-12-20 |
| 1891280277 | Special Health Resources for Texas Incorporated | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-06-27 |
| 1750769238 | Special Health Resources for Texas Incorporated | Clinic/Center | 703 E Marshall Ave, Suite 310, Longview, TX 75601-5500 | 2015-05-15 |
| 1326460858 | Special Health Resources for Texas Incorporated | Clinic/Center | 1102 Main St, Texarkana, TX 75501-4313 | 2014-01-17 |
| 1609298132 | Special Health Resources for Texas Incorporated | Clinic/Center | 1300 Clinic Dr, Tyler, TX 75701-2119 | 2014-01-17 |
| Street Address |
825 MEDICAL DR |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095266 | Charles Daniel Haas | Internal Medicine | 825 Medical Dr, Tyler, TX 75701-2143 | 2005-06-30 |
| 1891288742 | Carin Lynnae Wallace | Nurse Practitioner | 825 Medical Dr, Tyler, TX 75701-2143 | 2018-06-14 |
| 1013950997 | Ralph James Turner | Obstetrics & Gynecology | 825 Medical Dr, Tyler, TX 75701-2143 | 2006-06-14 |
| 1194722231 | Rene Lunday Mccarty | Physician Assistant | 825 Medical Dr, Tyler, TX 75701-2143 | 2005-07-05 |
| 1417954751 | Blood and Cancer Center of East Texas Pa | Internal Medicine | 825 Medical Dr, Tyler, TX 75701-2143 | 2005-07-01 |
| 1427055870 | Patricia E Lane | Nurse Practitioner | 825 Medical Dr, Tyler, TX 75701-2143 | 2005-06-30 |
| 1033116439 | Gary Edward Gross | Internal Medicine | 825 Medical Dr, Tyler, TX 75701-2143 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| 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 |
| 1609298132 | Special Health Resources for Texas Incorporated | Clinic/Center | 1300 Clinic Dr, Tyler, TX 75701-2119 | 2014-01-17 |
| 1720412141 | Tyler Family Circle of Care | Clinic/Center | 214 E Houston St, Tyler, TX 75702-8131 | 2013-08-22 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366718 | East Texas Border Health Clinic | Clinic/Center | 1411 College Dr, Texarkana, TX 75503-3533 | 2020-11-04 |
| 1366043689 | Legacy Community Health Services, Inc. | Clinic/Center | 1900 Strawn Rd., Houston, TX 77039-2017 | 2020-11-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.