ST. PAUL'S MOBILE CLINIC – Federally Qualified Health Center (FQHC), NPI 1265613285

ST. PAUL'S MOBILE CLINIC is a healthcare provider. based in Tyler, Texas. specializing in Federally Qualified Health Center (FQHC). The NPI Number for ST. PAUL'S MOBILE CLINIC is 1265613285

Main info

Organization
Name
ST. PAUL'S MOBILE CLINIC
NPI
1265613285
Phone
(903) 535-0023
Address
815 N BROADWAY AVE
Authorized Official
JUDY DAVIS EXECUTIVE DIRECTOR MBA,MHA
Enumeration Date
19 November 2007
Last Update Date
19 November 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for ST. PAUL'S MOBILE CLINIC

  • 815, North Broadway Avenue, Tyler, Smith County, Texas, 75702, United States

    TYLER, TX 757024507

    Phone: (903) 535-0023

    Fax: (903) 535-0052

    Type: Mailing

  • 928, North Glenwood Boulevard, Tyler, Smith County, Texas, 75702, United States

    TYLER, TX 757025055

    Phone: (903) 533-7400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75702)

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Reviews

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Frequently asked questions

Can I use this page to confirm ST. PAUL'S MOBILE CLINIC's NPI?
Yes. ST. PAUL'S MOBILE CLINIC is listed with NPI 1265613285 in the public NPI dataset.
Is ST. PAUL'S MOBILE CLINIC listed as active for patients and plans?
The listing shows ST. PAUL'S MOBILE CLINIC as active in the NPI system.
What is ST. PAUL'S MOBILE CLINIC's primary classification?
Federally Qualified Health Center (FQHC) is the headline specialty for ST. PAUL'S MOBILE CLINIC here. Clinical services aligned with this taxonomy classification.
What address line appears for ST. PAUL'S MOBILE CLINIC?
ST. PAUL'S MOBILE CLINIC's geographic hint is Tyler, Texas in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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