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Contact Information

WOMENS TOTAL CARE OF EAST TEXAS
837 S FLEISHEL AVE
TYLER, TX75701-2017
 Phone: 903-939-2273
 Fax: 903-581-2137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207VC0200X 16 Physician/Obstetrics & Gynecology
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Bone Densitometry Radiologic Technologist

2471B0102X
 

Family

363LF0000X 50 Nurse Practitioner
 

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics

207VX0000X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
 

Sonography Radiologic Technologist

2471S1302X
 

Women's Health

364SW0102X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for WOMENS TOTAL CARE OF EAST TEXAS

NPI Number 1326018656
LBN Legal business name WOMENS TOTAL CARE OF EAST TEXAS
Authorized official JAMES WASSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2006
Last updated 09/27/2023 - About 3 years ago
Identifiers
TX License # J6274
TX Medicaid 155813201
Other 0025HZ BLUE CROSS & BLUE SHIELD
TX Other DG6694 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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