Healthport P.a.

NPI #1154577641 in Tyler, Texas

Provider Information

NPI Number: 1154577641
Entity Type: Organization
Organization Name: Healthport P.a.
Primary Specialty: Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date: Aug 15, 2008
Last Updated: Jan 7, 2013

Practice Location

Address: 4295 KINSEY DR
City: Tyler
State: Texas
ZIP Code: 75703-1004
Phone: (903) 526-5000

Authorized Official

Name: DR. KENNETH FULTS, D.O.
Title: PRESIDENT
Phone: (903) 526-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X
Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine	2081P2900X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Barbara Jean Sigal, MD	Physical Medicine & Rehabilitation - Pain Medicine	Tyler	AI Deep Dive
DR. Scott Joseph Lamb, M.D.	Physical Medicine & Rehabilitation - Pain Medicine	Tyler	AI Deep Dive
DR. Jonathan Blau, M.D.	Physical Medicine & Rehabilitation - Pain Medicine	Tyler	AI Deep Dive
Ameer Syed Ali, D.O.	Physical Medicine & Rehabilitation - Pain Medicine	Tyler	AI Deep Dive

Organizations

Provider Name	Specialty	City
Jonathan Blau MD PA	Physical Medicine & Rehabilitation - Pain Medicine	Tyler	AI Deep Dive

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