EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES NPI 1629252937

NPI Information

NPI: 1629252937
Provider Name: EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES

Doing Business As: ETMC FIRST PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
904 S BECKHAM AVE
TYLER, TX
ZIP 75701
Phone: (903) 596-3555
Get Directions

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 1629252937. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Etmc First Physicians.

The provider's business location address is:

904 S BECKHAM AVE
TYLER, TX
ZIP 75701-906
Phone: (903) 596-3555
Fax: (903) 596-3560

The provider's authorized official is Kim Pearson-wahl .
The authorized official title is Vice President and has the following contact phone number (903) 535-6890.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 12/21/2007.

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	Primary
1	111N00000X	Chiropractor		No
2	207R00000X	Internal Medicine		No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	No
4	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
5	207V00000X	Obstetrics & Gynecology		No
6	207X00000X	Orthopaedic Surgery		No
7	208000000X	Pediatrics		No
8	208600000X	Surgery		No
9	208800000X	Urology		No
10	208VP0000X	Pain Medicine	Pain Medicine	No
11	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
12	213E00000X	Podiatrist		No
13	363A00000X	Physician Assistant		No
14	363L00000X	Nurse Practitioner		No
15	207Q00000X	Family Medicine		Yes

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
1	00T07K	OTHER	TEXAS	BLUE CROSS
2	CD9882	OTHER	TEXAS	RAILROAD MEDICARE
3	00T62U	MEDICARE PIN	TEXAS
4	CD9882	MEDICARE PIN	TEXAS

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

NPI Synchronization or Removal

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