WALTER STEPHEN PAVLIC RN NPI 1255822250

NPI Information

  • NPI: 1255822250
  • Provider Name: WALTER STEPHEN PAVLIC, RN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 755 S BECKHAM AVE
    TYLER, TX
    ZIP 75701
  • Phone: (903) 532-1400

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NPI Details

Walter Stephen Pavlic, RN is a home health registered nurse in Tyler, TX. Walter Stephen Pavlic, RN NPI is 1255822250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

755 S BECKHAM AVE
TYLER, TX
ZIP 75701-903
Phone: (903) 532-1400

The enumeration date for this NPI number is 5/24/2018 and was last updated on 5/24/2018.

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
1163WH0200XRegistered NurseHome Health583938TEXASYes

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: 11/21/2025

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