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Contact Information

EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
1000 S BECKHAM
TYLER, TX75701
 Phone: 903-597-0351
 Fax: 903-596-3560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES

NPI # 1699719872
LBN Legal business name EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
Authorized official REBECCA MANGUM - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2006
Last updated 04/11/2017 - About 9 years ago
Identifiers
TX Medicaid 151671801
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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