Provider Demographics
NPI:1679150445
Name:NORTHEAST TEXAS PUBLIC HEALTH DISTRICT
Entity Type:Organization
Organization Name:NORTHEAST TEXAS PUBLIC HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE STRATEGIES
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-535-0033
Mailing Address - Street 1:815 N BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702-4507
Mailing Address - Country:US
Mailing Address - Phone:903-535-0033
Mailing Address - Fax:903-535-0052
Practice Address - Street 1:815 N BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-4507
Practice Address - Country:US
Practice Address - Phone:903-535-0033
Practice Address - Fax:903-535-0052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local