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Contact Information

CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA
13027 STATE HIGHWAY 155 S
TYLER, TX75703-6548
 Phone: 903-839-1000
 Fax: 903-839-4000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA

NPI Number 1114953767
LBN Legal business name CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA
Authorized official RANDALL RODGERS - (PHYSICIAN-PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2006
Last updated 08/16/2016 - About 10 years ago
Identifiers
TX Other 0076NH BCBS
TX Other 1114953767 BCBSTX
TX Other DF1536 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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