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East Texas Neurology
Neurology Physician in Tyler, Texas
NPI 1841564929

East Texas Neurology is a Neurology Physician based in Tyler, TX and is specialized in Neurology. East Texas Neurology practices in Tyler, TX. The NPI Number for East Texas Neurology is 1841564929 and holds a License No. E2095 (Texas).

The current practice location address for East Texas Neurology is 1301 Doctors Dr, Tyler, TX and can be reached out via phone at 903-597-3787.

Location: 1301 Doctors Dr, Tyler, TX, 75701-2239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841564929
Provider Name
East Texas Neurology
Credential
Provider Entity Type
Organization
Address
1301 Doctors Dr, Tyler, TX, 75701-2239
Phone Number
903-597-3787
Fax Number
Provider Enumeration Date
03/07/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130010459 01 RAILROAD MEDICARE
1609803436 01 NPI
826133177 01 RAILROAD MEDICARE
00P572 01 BLUE CROSS
128085101 05 TX
00ET94 01 BLUE CROSS
135730301 05 TX
1184652141 01 NPI
institution
Provider Business Practice Location Address Details
Address
1301 Doctors Dr
City
Tyler
State
Texas
Zip
75701-2239
Phone Number
903-597-3787
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Doctors Dr
City
Tyler
State
Texas
Zip
75701-2239
Phone Number
903-597-3787
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
E2095 (Texas)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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