Organization
EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
Active
Other names
First Physicians Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ROBINSON (DIRECTOR)
(903) 596-3813
Entity
Organization
Contact information
Practice address
700 OLYMPIC PLAZA CIR, SUITE #600, TYLER, TX 75701-1951
(903) 596-3813
(903) 596-3843
Mailing address
PO BOX 9624, TYLER, TX 75711-2624
(903) 596-7902
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T07K
BCBS OF TEXAS
TX
01
—
CC7791
RAILROAD MEDICARE
TX
Enumeration date
08/09/2006
Last updated
08/22/2020
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