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NOVAMED SURGERY CENTER OF TYLER LP NPI 1083606867


NPI Information

NPI: 1083606867
Provider Name: NOVAMED SURGERY CENTER OF TYLER, LP

Doing Business As: CATARACT CENTER OF EAST TEXAS

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
802 TURTLE CREEK DR
TYLER, TX
ZIP 75701
Phone: (903) 595-4333
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NOVAMED SURGERY CENTER OF TYLER, LP is an ambulatory surgical clinic center in Tyler, TX. NOVAMED SURGERY CENTER OF TYLER, LP NPI is 1083606867. The provider is registered as an organization entity type.
The provider Is Doing Business As Cataract Center Of East Texas.

The provider's business location address is:

802 TURTLE CREEK DR
TYLER, TX
ZIP 75701
Phone: (903) 595-4333
Fax: (903) 535-9845

The provider's authorized official is Scott Macomber .
The authorized official title is Evp Of The Manager and has the following contact phone number (312) 664-4100.

The enumeration date for this NPI number is 8/18/2005 and was last updated on 10/22/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical007870TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ASC146MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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