| East Texas Medical Center Healthcare Associates | |
|
901 Turtle Creek Dr Tyler TX 75701 | |
| (903) 596-3555 | |
| (903) 596-3560 |
| Full Name | East Texas Medical Center Healthcare Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 901 Turtle Creek Dr, Tyler, Texas |
| Authorized Official Name and Position | Rebecca Mangum (VP) |
| Authorized Official Contact | 9035963594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Medical Center Healthcare Associates Po Box 9477 Tyler TX 75711-9477 Ph: (903) 594-2450 | East Texas Medical Center Healthcare Associates 901 Turtle Creek Dr Tyler TX 75701 Ph: (903) 596-3555 |
| NPI Number | 1124062484 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 04/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124062484 | NPI | - | NPPES |
| 130864507 | Medicaid | TX | |
| 00T07K | Other | TX | BLUE CROSS |
| 130864502 | Medicaid | TX | |
| CC7791 | Other | TX | RAILROAD MEDICARE |
| CD9882 | Other | TX | RAILROAD MEDICARE |
| 4944030003 | Other | TX | PALMETTO DME |
| CC6186 | Other | TX | RAILROAD MEDICARE |
| 085332701 | Medicaid | TX |
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