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NPI Code Detail

MEDICARE: SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED

MEDICARE: SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1003748336
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Provider Business Mailing Address
First Line : PO BOX 2709
Second Line :
City : LONGVIEW
State : TX
Zip : 75606-2709
Country : US
Telephone Number : 903-234-0776
Fax Number : 903-234-9769
Provider Business Practice Location Address
First Line : 1205 N 6TH ST
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-5539
Country : US
Telephone Number : 903-230-0235
Fax Number : 903-230-0242
Authorized Official
Title or Position : CEO
Name : JESSICA ROLDAN
Credential :
Telephone Number : 903-234-0776
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED ” Practice Location

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