East Texas Medical Center Healthcare Associates in Tyler - Surgery
East Texas Medical Center Healthcare Associates - NPI 1629252937
East Texas Medical Center Healthcare Associates is a Surgery in Tyler, Texas. East Texas Medical Center Healthcare Associates practices all healthcare services and medical treatments related to Surgery. The NPI Number for East Texas Medical Center Healthcare Associates is 1629252937. 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 | 1629252937 |
|---|---|
| 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 | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00T07K | TX | BLUE CROSS | |
| CD9882 | TX | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to East Texas Medical Center Healthcare Associates by the Centers for Medicare & Medicaid Services (CMS)?
The East Texas Medical Center Healthcare Associates has been assigned the NPI (National Provider Identifier) 1629252937. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where East Texas Medical Center Healthcare Associates's facilities are geographically located?
The facilities of East Texas Medical Center Healthcare Associates are physically situated at the following location: 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 Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1629252937 to East Texas Medical Center Healthcare Associates?
The Centers for Medicare & Medicaid Services assigned the 1629252937 to East Texas Medical Center Healthcare Associates on 2007-12-21.
When was the information regarding East Texas Medical Center Healthcare Associates, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to East Texas Medical Center Healthcare Associates, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-21.
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