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EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES NPI 1124062484


NPI Information

NPI: 1124062484
Provider Name: EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES

Doing Business As: FIRST PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
901 TURTLE CREEK DR
TYLER, TX
ZIP 75701
Phone: (903) 596-3555
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EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES is a family medicine in Tyler, TX. The provider is 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 is not limited by age, sex, organ system, or disease entity. EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES NPI is 1124062484. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As First Physicians.

The provider's business location address is:

901 TURTLE CREEK DR
TYLER, TX
ZIP 75701
Phone: (903) 596-3555
Fax: (903) 596-3560

The provider's authorized official is Rebecca Mangum .
The authorized official title is Vp and has the following contact phone number (903) 596-3594.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 4/11/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor4278TEXASNo
2208800000XUrologyNo
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
6207V00000XObstetrics & GynecologyNo
7207X00000XOrthopaedic SurgeryNo
8208000000XPediatricsNo
9208100000XPhysical Medicine & RehabilitationNo
102084P0800XPsychiatry & NeurologyPsychiatryNo
112085R0202XRadiologyDiagnostic RadiologyNo
12208600000XSurgeryNo
13363A00000XPhysician AssistantNo
14363L00000XNurse PractitionerNo
15207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1085332701MEDICAIDTEXAS
2130864507MEDICAIDTEXAS
3CD9882MEDICARE PINTEXAS
44944030003MEDICARE PINTEXAS
5CC7791MEDICARE PINTEXAS
6CC7791OTHERTEXASRAILROAD MEDICARE
74944030003MEDICARE NSCTEXAS
800T07KOTHERTEXASBLUE CROSS
94944030003OTHERTEXASPALMETTO DME
100086AEMEDICARE PINTEXAS
11CC6186MEDICARE PINTEXAS
12CC6186OTHERTEXASRAILROAD MEDICARE
13130864502MEDICAIDTEXAS
1400T62UMEDICARE PINTEXAS
15CD9882OTHERTEXASRAILROAD MEDICARE
1600T07KMEDICARE 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.