Provider Type Icon

EXCEPTIONAL PHYSICIANS GROUP TYLER PLLC NPI 1528693629


NPI Information

NPI: 1528693629
Provider Name: EXCEPTIONAL PHYSICIANS GROUP TYLER PLLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 45D2184670

Address:
2222 E SOUTHEAST LOOP 323
TYLER, TX
ZIP 75701
Phone: (469) 341-7800
Get Directions

EXCEPTIONAL PHYSICIANS GROUP TYLER PLLC is an emergency medicine in Tyler, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. EXCEPTIONAL PHYSICIANS GROUP TYLER PLLC NPI is 1528693629. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2222 E SOUTHEAST LOOP 323
TYLER, TX
ZIP 75701-320
Phone: (469) 341-7800

The provider's authorized official is Saeed S Mahboubi .
The authorized official title is Cfo and has the following contact phone number (469) 341-7800.

The CLIA number assigned to this NPI record is 45D2184670 - other - freestanding er with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/9/2020 and was last updated on 7/23/2020.


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
1207P00000XEmergency MedicineYes

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.