Type 2 organization · NPI 1003982117
DEPARTMENT OF STATE HEALTH SERVICES
261QP0905X · TYLER, TX
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 261QP0905X | 261QP0905X | Primary |
| 261QA0005X | 261QA0005X | Additional |
| 261QF0050X | 261QF0050X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s