East Texas Medical Center Healthcare Associates

NPI #1326082892 in Tyler, Texas

Provider Information

NPI Number: 1326082892
Entity Type: Organization
Organization Name: East Texas Medical Center Healthcare Associates
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 15, 2006
Last Updated: Apr 11, 2017

Practice Location

Address: 6210 S BROADWAY AVE
City: Tyler
State: Texas
ZIP Code: 75703-4413
Phone: (903) 579-2800

Authorized Official

Name: REBECCA MANGUM
Title: VP
Phone: (903) 595-3594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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