East Texas Medical Center Healthcare Associates

NPI #1396773339 in Tyler, Texas

Provider Information

NPI Number: 1396773339
Entity Type: Organization
Organization Name: East Texas Medical Center Healthcare Associates
Primary Specialty: Surgery
Enumeration Date: Jun 29, 2006
Last Updated: Apr 11, 2017

Practice Location

Address: 1020 E IDEL ST
City: Tyler
State: Texas
ZIP Code: 75701-2024
Phone: (903) 596-3555

Authorized Official

Name: REBECCA MANGUM
Title: VP
Phone: (903) 596-3594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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