East Texas Medical Center Healthcare Associates in Tyler - Family Medicine
East Texas Medical Center Healthcare Associates - NPI 1174707483
East Texas Medical Center Healthcare Associates is a Family Medicine in Tyler, Texas. East Texas Medical Center Healthcare Associates practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for East Texas Medical Center Healthcare Associates is 1174707483. The last update date is 2007-12-21.
East Texas Medical Center Healthcare Associates's current location address is 904 S Beckham Ave, Tyler, Texas. You can contact this provider via phone number 9035963555 and fax number 9035963560. The mailing address for East Texas Medical Center Healthcare Associates is 904 S Beckham Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Texas Medical Center Healthcare Associates |
|---|---|
| Address | 904 S Beckham Ave, Tyler, Texas |
| Phone Number | 9035963555 |
| Fax Number | 9035963560 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Pearson-Wahl Kim |
| Telephone Number | 9035356890 |
NPI Number Detail
| NPI Number | 1174707483 |
|---|---|
| Provider Enumeration Date | 2007-12-21 |
| Last Updated Date | 2007-12-21 |
Provider Mailing Address Detail
| Address | 904 S Beckham Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757011906 |
| Phone Number | 9035963555 |
| Fax Number | 9035963560 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CC6186 | TX | RAILROAD MEDICARE | |
| 00T07K | TX | BLUE CROSS |
Post Comment/ Review Below
What is the East Texas Medical Center Healthcare Associates's 1174707483?
The East Texas Medical Center Healthcare Associates's NPI (National Provider Identifier) Number is 1174707483. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where East Texas Medical Center Healthcare Associates is physically located?
The East Texas Medical Center Healthcare Associates is physically situated at the following address: 904 S Beckham Ave, Tyler, TX, 757011906.
What is the East Texas Medical Center Healthcare Associates's area of specialization and corresponding taxonomy classification?
The East Texas Medical Center Healthcare Associates's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1174707483 assigned to East Texas Medical Center Healthcare Associates?
The East Texas Medical Center Healthcare Associates was issued its 1174707483 on 2007-12-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to East Texas Medical Center Healthcare Associates most recently updated or revised?
The information pertaining to East Texas Medical Center Healthcare Associates, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-21.