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NPI 1699315499

OrganizationActive

East Texas Family Support Clinic

NPI 1699315499 · Pain Clinic/Center · Tyler, TX

Provider details

NPI number: 1699315499
Entity type: Organization
Primary specialty: Pain Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Jennifer Blake, Owner

Practice location

1305 Doctors Dr

Tyler, TX 75701-2263

Phone: (903) 525-9397

Fax: (903) 525-9398

More TX providers

Mailing address

1305 Doctors Dr

Tyler, TX 75701-2263

Registry dates

Enumerated: 2020-01-09
Last updated: 2020-06-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

East Texas Family Support Clinic — NPI 1699315499, Tyler, TX | NPI Central