EAST TEXAS FAMILY SUPPORT CLINIC
NPI 1699315499
Clinic/Center - Pain in Tyler, TX
NPI Status: Active since January 09, 2020
Contact Information
1305 DOCTORS DR
TYLER, TX
ZIP 75701
Phone: (903) 525-9397
Fax: (903) 525-9398
- Organization
- Clinic/Center
- Pain
- Accepts Insurance
About EAST TEXAS FAMILY SUPPORT CLINIC
This page provides the complete NPI Profile along with additional information for East Texas Family Support Clinic, a provider established in Tyler, Texas operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1699315499 assigned on January 2020. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jennifer A Blake (Owner)
- NPI
- 1699315499
- Provider Name
- EAST TEXAS FAMILY SUPPORT CLINIC
- Entity Type
- Organization
- Location Address
- 1305 DOCTORS DR TYLER, TX 75701
- Location Phone
- (903) 525-9397
- Location Fax
- (903) 525-9398
- Mailing Address
- 1305 DOCTORS DR TYLER, TX 75701
- Mailing Phone
- (903) 525-9397
- Mailing Fax
- (903) 525-9398
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-09-2020
- Last Update Date
- 06-11-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1699315499, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699315499, enumerated as an "organization" on January 09, 2020.
The provider is located at 1305 DOCTORS DR TYLER, TX 75701 and the phone number is (903) 525-9397.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
