East Texas Infectious Disease Consultants, Pllc

LBN: East Texas Infectious Disease Consultants, Pllc
East Texas Infectious Disease Consultants, Pllc is an health care organization with primary practice located at 935 S Baxter Ave Ste 103, Tyler TX 75701-2245. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. East Texas Infectious Disease Consultants, Pllc can be contacted via phone (903) 592-4473, or through Conover, Carol via phone (903) 592-4473.

Contact Information

Primary practice address
935 S Baxter Ave Ste 103 Tyler TX 75701-2245
Phone: (903) 592-4473
Fax: (903) 592-4474
Website:
Map and Directions
Authorized official contact:
Name: Conover, Carol
Phone: (903) 592-4473

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 207R10200X Texas

Profile Details

NPI number 1912907353
LBN Legal business name East Texas Infectious Disease Consultants, Pllc
DBA Doing business as
Authorized official Conover, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 2nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912907353 NPPES
Texas MEDICAID 157701701

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