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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
MS. 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
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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