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EAST TEXAS FAMILY SUPPORT CLINIC
NPI 1699315499
Clinic/Center - Pain in Tyler, TX

Active since January 09, 2020
1305 DOCTORS DR, TYLER, TX 75701(903) 525-9397(903) 525-9398 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2020, Jan 9, 2020 (2 updates tracked since 2020).

About East Texas Family Support Clinic NPPES

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

EAST TEXAS FAMILY SUPPORT CLINIC (NPI 1699315499) is a healthcare organization registered as a pain in Tyler, Texas and active in the NPI registry since January 2020. The organization lists Jennifer A Blake, Owner, as its authorized official.

NPPES Registry Identity

NPI1699315499
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameEAST TEXAS FAMILY SUPPORT CLINIC
Location Address1305 DOCTORS DRTyler, TX 75701-2263
Mailing Address1305 Doctors DrTyler, TX 75701-2263 · (903) 525-9397 · Fax (903) 525-9398
Phone(903) 525-9397
Fax(903) 525-9398
Organization SubpartNo
Authorized OfficialJennifer A BlakeOwner · (954) 557-2775
Enumeration DateJanuary 9, 2020
Last NPPES UpdateJune 11, 20202 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
✔ NPI 1699315499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1305 DOCTORS DR, Tyler, TX 75701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEGASUS HOSPICE LLC
Hospice Care, Community Based
1305 DOCTORS DR
TYLER, TX 75701
Smith County (903) 630-1001
FELLOWSHIP HEALTH TEAM LLC
Home Health
1305 DOCTORS DR
TYLER, TX 75701
Smith County (903) 630-1405

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 East Texas Family Support Clinic's NPI number?

The NPI number for East Texas Family Support Clinic is 1699315499. It was assigned to this organization in the NPPES registry on January 9, 2020.

Where is East Texas Family Support Clinic located?

East Texas Family Support Clinic is located at 1305 Doctors Dr, Tyler, TX 75701. The listed phone number is (903) 525-9397.

What is East Texas Family Support Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

What insurance does East Texas Family Support Clinic accept?

Health plans from Blue Cross and Blue Shield of Texas list East Texas Family Support Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Texas Family Support Clinic was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.