East Texas Vascular Associates, P.A. in Tyler - Vascular Surgery
East Texas Vascular Associates, P.A. - NPI 1750383386
East Texas Vascular Associates, P.A. is a Vascular Surgery in Tyler, Texas. East Texas Vascular Associates, P.A. practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for East Texas Vascular Associates, P.A. is 1750383386. The last update date is 2020-08-05.
East Texas Vascular Associates, P.A.'s current location address is 700 Olympic Plaza Cir Ste 510, Tyler, Texas. You can contact this provider via phone number 9035952636 and fax number 9035955560. The mailing address for East Texas Vascular Associates, P.A. is 700 Olympic Plaza Cir Ste 510, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Texas Vascular Associates, P.A. |
|---|---|
| Address | 700 Olympic Plaza Cir Ste 510, Tyler, Texas |
| Phone Number | 9035952636 |
| Fax Number | 9035955560 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Harris Pam |
| Telephone Number | 9035952636 |
NPI Number Detail
| NPI Number | 1750383386 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2020-08-05 |
Provider Mailing Address Detail
| Address | 700 Olympic Plaza Cir Ste 510 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757011952 |
| Phone Number | 9035952636 |
| Fax Number | 9035955560 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | D4981 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85672601 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to East Texas Vascular Associates, P.A. by the Centers for Medicare & Medicaid Services?
The East Texas Vascular Associates, P.A. has been assigned the NPI (National Provider Identifier) 1750383386. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where East Texas Vascular Associates, P.A.'s facilities are situated?
The facilities of East Texas Vascular Associates, P.A. are physically located at the following address: 700 Olympic Plaza Cir Ste 510, Tyler, TX, 757011952.
What is East Texas Vascular Associates, P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The East Texas Vascular Associates, P.A.'s area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750383386 to East Texas Vascular Associates, P.A.?
The East Texas Vascular Associates, P.A. received its 1750383386 assignment from the Centers for Medicare & Medicaid Services on 2005-08-12.
When was the East Texas Vascular Associates, P.A.'s information last updated?
The East Texas Vascular Associates, P.A.'s information was last updated on 2020-08-05.