Organization
EAST TEXAS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON HALE (SENIOR VICE PRESIDENT FINANCE)
(903) 531-8010
Entity
Organization
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 531-8170
(903) 535-6102
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 531-8170
(903) 535-6102
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020812601
—
TX
01
—
HH0219
BLUE CROSS OF TEXAS ACUTE
TX
Enumeration date
03/26/2007
Last updated
04/20/2008
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