National Provider Identifier Database

EAST TEXAS MEDICAL CENTER REHABILITATION HOSPITAL
Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.


Contact Information

EAST TEXAS MEDICAL CENTER REHABILITATION HOSPITAL
701 OLYMPIC PLAZA CIR
TYLER, TX75701-1950
Phone: 903-596-3258
Fax: 903-596-3006
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for EAST TEXAS MEDICAL CENTER REHABILITATION HOSPITAL

NPI Number 1700901873
Legal business name
LBN
EAST TEXAS MEDICAL CENTER REHABILITATION HOSPITAL
Authorized official EDDIE HOWARD - (VP-COO)
Entity Organization
Organization subpart No
Enumeration date 03/20/2007
Last updated 09/23/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 000799
  • TX Medicaid: 021177301

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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