TYLER WELLNESS CLINIC
NPI 1508572959
Clinic/Center - Primary Care in Tyler, TX

Active since January 30, 2023
649 S BROADWAY AVE STE 2, TYLER, TX 75701(903) 747-8107(903) 747-8113 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Apr 4, 2023, Jan 30, 2023 (3 updates tracked since 2023).

About Tyler Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER WELLNESS CLINIC (NPI 1508572959) is a healthcare organization registered as a primary care in Tyler, Texas and active in the NPI registry since January 2023. The organization lists Stacie Cameron, Family Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1508572959
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTYLER WELLNESS CLINIC
Location Address649 S BROADWAY AVE STE 2Tyler, TX 75701-1677
Mailing AddressPo Box 7217Tyler, TX 75711-7217
Fax(903) 747-8113
Organization SubpartNo
Authorized OfficialStacie CameronFamily Nurse Practitioner/owner · (903) 747-8107
Enumeration DateJanuary 30, 2023
Last NPPES UpdateDecember 6, 20233 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1508572959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
649 S BROADWAY AVE STE 2, Tyler, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Wellness Clinic's NPI number?

The NPI number for Tyler Wellness Clinic is 1508572959. It was assigned to this organization in the NPPES registry on January 30, 2023.

Where is Tyler Wellness Clinic located?

Tyler Wellness Clinic is located at 649 S Broadway Ave Ste 2, Tyler, TX 75701. The listed phone number is (903) 747-8107.

What is Tyler Wellness Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Tyler Wellness Clinic was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.