Tyler Wellness Clinic

LBN: Tyler Wellness Clinic
Tyler Wellness Clinic is an health care organization with primary practice located at 649 S Broadway Ave Ste 2 , Tyler TX 75701-1677. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Tyler Wellness Clinic can be contacted via phone (903) 747-8107, or through Cameron, Stacie via phone (903) 747-8107.

Contact Information

Primary practice address
649 S Broadway Ave Ste 2 Tyler TX 75701-1677
Phone: (903) 747-8107
Fax: (903) 747-8113
Website:
Map and Directions
Authorized official contact:
Name: Cameron, Stacie DNP, APRN, FNP-C
Phone: (903) 747-8107

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1508572959
LBN Legal business name Tyler Wellness Clinic
DBA Doing business as
Authorized official Cameron, Stacie DNP, APRN, FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2023
Last updated Dec 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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