Organization
WOMENS TOTAL CARE OF EAST TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LOUIS WASSON MD (OWNER)
(903) 939-2273
Entity
Organization
Contact information
Practice address
837 S FLEISHEL AVE, TYLER, TX 75701-2017
(903) 939-2273
(903) 581-2137
Mailing address
837 S FLEISHEL AVE, TYLER, TX 75701-2017
(903) 939-2273
(903) 581-2137
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
J6274
TX
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
Primary
J6274
TX
207VE0102X
Reproductive Endocrinology Physician
J6274
TX
207VG0400X
Gynecology Physician
J6274
TX
207VM0101X
Maternal & Fetal Medicine Physician
J6274
TX
207VX0000X
Obstetrics Physician
J6274
TX
207VX0201X
Gynecologic Oncology Physician
J6274
TX
2471B0102X
Bone Densitometry Radiologic Technologist
J6274
TX
2471S1302X
Sonography Radiologic Technologist
J6274
TX
363L00000X
Nurse Practitioner
J6274
TX
363LA2200X
Adult Health Nurse Practitioner
J6274
TX
363LF0000X
Family Nurse Practitioner
J6274
TX
363LP2300X
Primary Care Nurse Practitioner
J6274
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
J6274
TX
364SW0102X
Women's Health Clinical Nurse Specialist
J6274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025HZ
BLUE CROSS & BLUE SHIELD
—
05
—
155813201
—
TX
01
—
DG6694
RAILROAD MEDICARE
TX
Enumeration date
01/26/2006
Last updated
09/27/2023
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