Provider Type Icon

TYLER FAMILY CIRCLE OF CARE NPI 1144575820


NPI Information

NPI: 1144575820
Provider Name: TYLER FAMILY CIRCLE OF CARE

Doing Business As: FAMILY CIRCLE OF CARE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2128504

Address:
523 S FANNIN AVE
TYLER, TX
ZIP 75702
Phone: (903) 535-9041
Get Directions

TYLER FAMILY CIRCLE OF CARE is a federally qualified health center (fqhc) clinic center in Tyler, TX. TYLER FAMILY CIRCLE OF CARE NPI is 1144575820. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Circle Of Care.

The provider's business location address is:

523 S FANNIN AVE
TYLER, TX
ZIP 75702-204
Phone: (903) 535-9041
Fax: (903) 531-9490

The provider's authorized official is Kristen S Harris .
The authorized official title is Chief Executive Officer and has the following contact phone number (903) 535-9041.

The CLIA number assigned to this NPI record is 45D2128504 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2012 and was last updated on 4/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.