OrganizationActive
Community Health Clinics of Northeast Texas
NPI 1376723072 · Federally Qualified Health Center (FQHC) · Tyler, TX
Provider details
- NPI number
- 1376723072
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bryan Wilder, Cfo(903) 533-7400
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
928 N Glenwood Blvd
Tyler, TX 75702-5055
Phone: (903) 533-7400
Fax: (903) 533-7409
Street-level locationGet directions
Mailing address
928 N Glenwood Blvd
Tyler, TX 75702-5055
Other names (DBA / former)
- Doing business as
- Total Healthcare Center
Registry dates
- Enumerated
- 2007-11-09
- Last updated
- 2010-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.