Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Community Health Clinics of Northeast Texas

Federally Qualified Health Center (FQHC) in Tyler, TX · enumerated 2007 · authorized official Bryan Wilder, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275713976

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Registry record

Entity type Organization (Type 2)

Legal business name Community Health Clinics of Northeast Texas

Other name <Unavail>

Practice address 928 N Glenwood Blvd, Tyler, TX, 75702

Phone (903) 526-4900

Fax (903) 526-4907

Enumeration date Nov 9, 2007

Last updated in NPPES Jun 21, 2010

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Secondary

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Bryan Wilder

Title Cfo

Phone (903) 533-7400

Other identifiers

Identifier	Type	State	Issuer
1383606-17	Medicaid	TX	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Community Health Clinics of Northeast Texas?

Community Health Clinics of Northeast Texas is registered in NPPES as a Federally Qualified Health Center (FQHC) (its primary provider taxonomy).

Providers at this address

Browse all →

Margaret Vidal-Kutin Women's Health Nurse Practitioner · Tyler, TX NPI 1275533663 Richard Rothwell Obstetrics Physician · Tyler, TX NPI 1265459770 Nicholas Luzietti Obstetrics & Gynecology Physician · Tyler, TX NPI 1932119443 Cole Flanagan Obstetrics & Gynecology Physician · Tyler, TX NPI 1437169208 Larry Hilton Women's Health Nurse Practitioner · Tyler, TX NPI 1720153224 Zareh Khachikian Obstetrics & Gynecology Physician · Tyler, TX NPI 1215084603 Joyce Daniel Advanced Practice Midwife · Tyler, TX NPI 1760510218 Joseph Petty Obstetrics & Gynecology Physician · Tyler, TX NPI 1649461211

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-06-21.