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East Texas Medical Center Healthcare Associates
Specialist in Tyler, Texas
NPI 1366452690

East Texas Medical Center Healthcare Associates is a Specialist based in Tyler, TX. East Texas Medical Center Healthcare Associates practices in Tyler, TX. The NPI Number for East Texas Medical Center Healthcare Associates is 1366452690 and holds a License No. (Texas).

The current practice location address for East Texas Medical Center Healthcare Associates is 700 Olympic Plaza Cir, Tyler, TX and can be reached out via phone at 903-596-3813 and via fax at 903-596-3843. You can also correspond with East Texas Medical Center Healthcare Associates through the mailing address at PO BOX 9624, TYLER, TX - 75711-2624 (mailing address contact number: 903-596-7902).

Location: 700 Olympic Plaza Cir, Tyler, TX, 75711-2624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366452690
Provider Name
East Texas Medical Center Healthcare Associates
Credential
Provider Entity Type
Organization
Address
700 Olympic Plaza Cir, Tyler, TX, 75711-2624
Phone Number
903-596-3813
Fax Number
903-596-3843
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CC7791 01 TX RAILROAD MEDICARE
00T07K 01 TX BCBS OF TEXAS
institution
Provider Business Practice Location Address Details
Address
700 Olympic Plaza Cir
City
Tyler
State
Texas
Zip
75701-1951
Phone Number
903-596-3813
Fax Number
903-596-3843
person
Provider Business Mailing Address Details
Address
Po Box 9624
City
Tyler
State
Texas
Zip
75711-2624
Phone Number
903-596-7902
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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