East Texas Vascular Associates, P.a.

NPI #1750383386 in Tyler, Texas

Provider Information

NPI Number: 1750383386
Entity Type: Organization
Organization Name: East Texas Vascular Associates, P.a.
Primary Specialty: Surgery
Enumeration Date: Aug 12, 2005
Last Updated: Aug 5, 2020

Practice Location

Address: 700 OLYMPIC PLAZA CIR STE 510
City: Tyler
State: Texas
ZIP Code: 75701-1952
Phone: (903) 595-2636

Authorized Official

Name: PAM HARRIS
Title: PRACTICE ADMINISTRATOR
Phone: (903) 595-2636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Colon & Rectal Surgery	208C00000X

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