| Nsn Preventative Medicine PLLC | |
|
522 N Broadway Ave Tyler TX 75702-5324 | |
| (903) 571-6302 | |
| Not Available |
| Full Name | Nsn Preventative Medicine PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 522 N Broadway Ave, Tyler, Texas |
| Authorized Official Name and Position | John Paul English (OWNER) |
| Authorized Official Contact | 9033010033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nsn Preventative Medicine PLLC 522 N Broadway Ave Tyler TX 75702-5324 Ph: (903) 301-0033 | Nsn Preventative Medicine PLLC 522 N Broadway Ave Tyler TX 75702-5324 Ph: (903) 571-6302 |
| NPI Number | 1326987991 |
|---|---|
| Provider Enumeration Date | 03/27/2026 |
| Last Update Date | 09/18/2026 |
| Certification Date | 09/18/2026 |
| Medicare PECOS PAC ID | 1759853401 |
|---|---|
| Medicare Enrollment ID | O20260615001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326987991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (NU) | Primary |
| Provider Name | Grace C English |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679627921 PECOS PAC ID: 5890092456 Enrollment ID: I20160324001688 |
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