OrganizationActive
Tyler Wellness Clinic
NPI 1508572959 · Primary Care Clinic/Center · Tyler, TX
Tyler Wellness Clinic is a Primary Care Clinic/Center organization in Tyler, TX (NPI 1508572959).
Provider details
- NPI number
- 1508572959
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacie Cameron, Family Nurse Practitioner/Owner(903) 747-8107
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
649 S Broadway Ave Ste 2
Tyler, TX 75701-1677
Phone: (903) 747-8107
Fax: (903) 747-8113
Street-level locationGet directions
Mailing address
Po Box 7217
Tyler, TX 75711-7217
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2023-12-06
- Certified
- 2023-12-06
Frequently asked questions
- What is Tyler Wellness Clinic's NPI number?
- Tyler Wellness Clinic's National Provider Identifier (NPI) is 1508572959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tyler Wellness Clinic?
- Tyler Wellness Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tyler Wellness Clinic located?
- Tyler Wellness Clinic's practice location on file with NPPES is 649 S Broadway Ave Ste 2, Tyler, TX 75701-1677.
- What is Tyler Wellness Clinic's phone number?
- The practice phone number listed in the NPPES registry for Tyler Wellness Clinic is (903) 747-8107.
- Who is the authorized official for Tyler Wellness Clinic?
- The authorized official listed on Tyler Wellness Clinic's NPPES record is Stacie Cameron, Family Nurse Practitioner/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tyler Wellness Clinic's NPI active?
- Yes — Tyler Wellness Clinic's NPI (1508572959) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.