# EAST TEXAS HOME MEDICAL AND HOME MODIFICATIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770242984
- **Authorized official:** BRYCE HAYES (OWNER)
- **Authorized official phone:** (903) 617-8800

## Contact information

- **Practice address:** 16568 KINGSTON CT, TYLER, TX 75703-7338
- **Practice address phone:** (903) 617-8800
- **Practice address fax:** (903) 630-2402
- **Mailing address:** 16568 KINGSTON CT, TYLER, TX 75703-7338
- **Mailing address phone:** (903) 617-8800
- **Mailing address fax:** (903) 630-2402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2021
- **Last updated:** 12/15/2021