| Willow Bend Center | |
|
2902 State Highway 31 E Tyler TX 75702-8613 | |
| (903) 596-8900 | |
| (903) 596-8903 |
| Full Name | Willow Bend Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2902 State Highway 31 E, Tyler, Texas |
| Authorized Official Name and Position | James Preston Florence (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9035968900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Bend Center 2902 State Highway 31 E Tyler TX 75702-8613 Ph: (903) 596-8900 | Willow Bend Center 2902 State Highway 31 E Tyler TX 75702-8613 Ph: (903) 596-8900 |
| NPI Number | 1023300720 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023300720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 65784 (Texas) | Primary |
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