NPI age
6 years
Enumerated 2020-01-09
● Active Type 2 · Organization
East Texas Family Support Clinic
East Texas Family Support Clinic is 1 of 195 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blake
Owner
Last NPPES update
2020-06-11
Source: monthly bulk 2026-05
How this organization compares
Across 195 active clinic/center providers in Texas.
NPI age
6 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 10% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1305 Doctors Dr
Tyler, TX 757012263
Mailing address
1305 Doctors Dr
Tyler, TX 757012263
Authorized official
Jennifer A Blake
Owner
📞 9545572775
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 195 Clinic/Center providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →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.