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Organization
EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
Active
Organization
EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
Active
Other names
ETMC First Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PEARSON-WAHL (VICE PRESIDENT)
(903) 535-6890
Entity
Organization
Contact information
Practice address
904 S BECKHAM AVE, TYLER, TX 75701-1906
(903) 596-3555
(903) 596-3560
Mailing address
PO BOX 9477, TYLER, TX 75711-9477
(903) 594-2450
(903) 939-0610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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