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NPI 1376723072
● Active Type 2 · Organization
Community Health Clinics Of Northeast Texas
Clinic/Center · Tyler, TX · NPI 1376723072
·
Enumerated 2007 · 18 years on NPI
Community Health Clinics Of Northeast Texas is 1 of 894 clinic/center organizations in Texas.
NPI age
18 years
Enumerated 2007-11-09
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilder
Cfo
Last NPPES update
2010-06-21
Source: monthly bulk 2026-05
How this organization compares
Across 894 active clinic/center providers in Texas.
NPI age
18 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 28% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-11 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
928 N Glenwood Blvd
Tyler, TX 757025055
📞 9035337400 fax 9035337409
Mailing address
928 N Glenwood Blvd
Tyler, TX 757025055
📞 9035337400 fax 9035337409
Authorized official
Bryan F Wilder
Cfo
📞 9035337400
Individual providers at this organization
16 individual providers on file at this primary practice address.
Natalie Bryant , NP
Nurse Practitioner
NPI 1497948129
Frances Casanova , CNM
Advanced Practice Midwife
NPI 1407137490
Joyce Daniel
Advanced Practice Midwife
NPI 1760510218
Rachel Everson , M.D.
Obstetrics & Gynecology
NPI 1992936603
Cole Flanagan , M.D.
Obstetrics & Gynecology
NPI 1437169208
Larry Hilton , APN
Nurse Practitioner
NPI 1720153224
Zareh Khachikian , M.D.
Obstetrics & Gynecology
NPI 1215084603
Marissa Kuykendall , CNM
Advanced Practice Midwife
NPI 1992356588
Nicholas Luzietti , M.D.
Obstetrics & Gynecology
NPI 1932119443
Kayla Parrilla
Nurse Practitioner
NPI 1528630324
Joseph Petty , M.D.
Obstetrics & Gynecology
NPI 1649461211
Richard Rothwell , M.D.
Obstetrics & Gynecology
NPI 1265459770
Eduardo Torres , MD
Obstetrics & Gynecology
NPI 1255442653
Margaret Vidal-Kutin , WHCNP
Nurse Practitioner
NPI 1275533663
Amber Weems , DDS
Dentist
NPI 1851603914
Rabiah Zafar , D.O
Obstetrics & Gynecology
NPI 1235533027
Identifiers
Type Value Notes
05 (TX)
190650501
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
16 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.