| Special Health Resources For Texas, Incorporated | |
|
1011 College Street Jacksonville TX 75766-3307 | |
| (903) 541-2571 | |
| (903) 284-6830 |
| Full Name | Special Health Resources For Texas, Incorporated |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1011 College Street, Jacksonville, Texas |
| Authorized Official Name and Position | Kim Dale Nesvig (CHIEF EXECUTIVE OFFICER (CEO)) |
| Authorized Official Contact | 9032340776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Special Health Resources For Texas, Incorporated Po Box 2709 Longview TX 75606-2709 Ph: (903) 234-0776 | Special Health Resources For Texas, Incorporated 1011 College Street Jacksonville TX 75766-3307 Ph: (903) 541-2571 |
| NPI Number | 1518469527 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 10/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518469527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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