TEXAS SPINE AND JOINT HOSPITAL LLC NPI 1780121210

NPI Information

NPI: 1780121210
Provider Name: TEXAS SPINE AND JOINT HOSPITAL, LLC

Doing Business As: BAYLOR SCOTT & WHITE TX SPINE & JOINT HOSP URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 45D2049967

Address:
8101 S BROADWAY AVE
TYLER, TX
ZIP 75703
Phone: (903) 939-0920
Get Directions

TEXAS SPINE AND JOINT HOSPITAL, LLC is an urgent care clinic center in Tyler, TX. TEXAS SPINE AND JOINT HOSPITAL, LLC NPI is 1780121210. The provider is registered as an organization entity type.
The provider Is Doing Business As Baylor Scott & White Tx Spine & Joint Hosp Urgent Care.

The provider's business location address is:

8101 S BROADWAY AVE
TYLER, TX
ZIP 75703-469
Phone: (903) 939-0920

The provider's authorized official is Tony Wahl .
The authorized official title is Officer / Authorized Official and has the following contact phone number (903) 525-3300.

The CLIA number assigned to this NPI record is 45D2049967 - other - urgent care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2017 and was last updated on 10/22/2020.

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
1	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	162459501	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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