Organization
EAST TEXAS MEDICAL CENTER TYLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI DICKSON (EXECUTIVE SECRETARY/CREDENTIALING)
(903) 596-3555
Entity
Organization
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 597-0351
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
678245
TX
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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