| Aligned Providers Of East Texas | |
|
1783 Troup Hwy Tyler TX 75701-5869 | |
| (903) 595-2283 | |
| (903) 595-1063 |
| Full Name | Aligned Providers Of East Texas |
|---|---|
| Speciality | Internal Medicine |
| Location | 1783 Troup Hwy, Tyler, Texas |
| Authorized Official Name and Position | John Mcgreevy (CEO) |
| Authorized Official Contact | 9035314505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aligned Providers Of East Texas Po Box 847755 Dallas TX 75284-7755 Ph: (903) 531-5000 | Aligned Providers Of East Texas 1783 Troup Hwy Tyler TX 75701-5869 Ph: (903) 595-2283 |
| NPI Number | 1144632621 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 04/20/2015 |
| Medicare PECOS PAC ID | 3274758917 |
|---|---|
| Medicare Enrollment ID | O20140714000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144632621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Scott A Wright |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043200785 PECOS PAC ID: 4284623067 Enrollment ID: I20040507000504 |
| Provider Name | Randy C Randall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003847716 PECOS PAC ID: 8921902420 Enrollment ID: I20050114000777 |
| Provider Name | Hector D Ceccoli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548250392 PECOS PAC ID: 9638114242 Enrollment ID: I20050623001009 |
| Provider Name | Dixie A Rochester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790707255 PECOS PAC ID: 0244234888 Enrollment ID: I20060913000066 |
| Provider Name | Richard W Lowry |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699712703 PECOS PAC ID: 6901807320 Enrollment ID: I20070126000395 |
| Provider Name | Kyle J Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902817992 PECOS PAC ID: 7618028689 Enrollment ID: I20090702000352 |
| Provider Name | Scott M Lieberman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326038159 PECOS PAC ID: 3870645005 Enrollment ID: I20090825000142 |
| Provider Name | Alexandre A Petrakian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811987654 PECOS PAC ID: 6507918737 Enrollment ID: I20090828000256 |
| Provider Name | Carl N Israel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396735122 PECOS PAC ID: 1153473384 Enrollment ID: I20090828000482 |
| Provider Name | Jeffrey G Carr |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649260373 PECOS PAC ID: 1355493586 Enrollment ID: I20090904000100 |
| Provider Name | Sherif S Iskander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255321980 PECOS PAC ID: 7416003538 Enrollment ID: I20090915000395 |
| Provider Name | Michael C Tobes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811987670 PECOS PAC ID: 3274674312 Enrollment ID: I20100111000704 |
| Provider Name | Peter K Meyers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437162716 PECOS PAC ID: 1658368725 Enrollment ID: I20101020001336 |
| Provider Name | Richard Heston Seidel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821001116 PECOS PAC ID: 8325086861 Enrollment ID: I20101021000149 |
| Provider Name | Craig Radford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053324343 PECOS PAC ID: 5698736247 Enrollment ID: I20101021000171 |
| Provider Name | Louie Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265445886 PECOS PAC ID: 9335187871 Enrollment ID: I20101021000284 |
| Provider Name | Kevin Green |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811900194 PECOS PAC ID: 2062450505 Enrollment ID: I20101021000310 |
| Provider Name | George Duvall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073526604 PECOS PAC ID: 7517905052 Enrollment ID: I20101021000421 |
| Provider Name | Tobias P Rebmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851421937 PECOS PAC ID: 4789866484 Enrollment ID: I20110316000346 |
| Provider Name | Rachel L Devaney |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619114659 PECOS PAC ID: 5496890162 Enrollment ID: I20130824000028 |
| Provider Name | John Nelken Bienvenu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821265281 PECOS PAC ID: 0840478541 Enrollment ID: I20141223000717 |
| Provider Name | Sudhir Babu Thotakura |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730447756 PECOS PAC ID: 0648550103 Enrollment ID: I20190626003407 |
| Provider Name | Marcus Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922641299 PECOS PAC ID: 3072946508 Enrollment ID: I20191213001133 |
Pure Radiance Laser Retreat Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6722 S Broadway Ave, Tyler, TX 75703 Phone: 903-561-0300 | |
Clifford D. Mullins, D.c., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14653 Eastside Rd, Tyler, TX 75707 Phone: 903-566-4449 | |
University Of Texas Health Science Center At Tyler-facility-physician Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-3451 | |
Frank P Reuter Jr Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 S Bois D Arc Ave, Tyler, TX 75701 Phone: 903-597-5579 Fax: 903-597-5722 | |
David W Ball Md Internal Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5407 New Copeland Rd Ste 200, Tyler, TX 75703 Phone: 903-330-2081 Fax: 903-630-9309 | |
Integrity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 Old Bullard Rd Ste B, Tyler, TX 75703 Phone: 903-630-5595 Fax: 903-630-5599 | |
Serve All Medical Tyler, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 S Southwest Loop 323 Ste 140, Tyler, TX 75702 Phone: 903-530-0240 |