Northeast Texas Neurology Associates, P.A. in Tyler - Neurology
Northeast Texas Neurology Associates, P.A. - NPI 1972680130
Northeast Texas Neurology Associates, P.A. is a Neurology in Tyler, Texas. Northeast Texas Neurology Associates, P.A. practices all healthcare services and medical treatments related to Neurology. The NPI Number for Northeast Texas Neurology Associates, P.A. is 1972680130. The last update date is 2022-08-16.
Northeast Texas Neurology Associates, P.A.'s current location address is 505 S Fleishel Ave Ste 800, Tyler, Texas. You can contact this provider via phone number 9035267055 and fax number 9035934303. The mailing address for Northeast Texas Neurology Associates, P.A. is 505 S Fleishel Ave Ste 800, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Texas Neurology Associates, P.A. |
|---|---|
| Address | 505 S Fleishel Ave Ste 800, Tyler, Texas |
| Phone Number | 9035267055 |
| Fax Number | 9035934303 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jetter M. Gina |
| Credentials | MD |
| Telephone Number | 9035267055 |
NPI Number Detail
| NPI Number | 1972680130 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2022-08-16 |
Provider Mailing Address Detail
| Address | 505 S Fleishel Ave Ste 800 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757028413 |
| Phone Number | 9035267055 |
| Fax Number | 9035934303 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | E6235 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 115025205 | TX | -- | |
| 143629701 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Northeast Texas Neurology Associates, P.A. by the Centers for Medicare & Medicaid Services?
The Northeast Texas Neurology Associates, P.A. has been issued the NPI (National Provider Identifier) 1972680130. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Northeast Texas Neurology Associates, P.A. is physically located?
The Northeast Texas Neurology Associates, P.A. is situated at the following address: 505 S Fleishel Ave Ste 800, Tyler, TX 757028413.
What is Northeast Texas Neurology Associates, P.A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Northeast Texas Neurology Associates, P.A.'s specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0400X.
On what date did the Northeast Texas Neurology Associates, P.A. receive the assignment of its 1972680130 from the Centers for Medicare & Medicaid Services?
The Northeast Texas Neurology Associates, P.A. was issued its 1972680130 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details pertaining to Northeast Texas Neurology Associates, P.A. last refreshed?
The information related to the Northeast Texas Neurology Associates, P.A., including its address, specialty, and other relevant details, was last updated on 2022-08-16.