East Texas Medical Center Trauma Services
LBN: East Texas Medical Center Healthcare Associates
East Texas Medical Center Trauma Services is an health care organization with primary practice located at 1020 E Idel St , Tyler TX 75701-2024. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
East Texas Medical Center Healthcare Associates can be contacted via phone (903) 596-3555, or through Mangum, Rebecca via phone (903) 596-3594.
Contact Information
Primary practice address
1020 E Idel St
Tyler TX 75701-2024
Phone: (903) 596-3555
Fax: (903) 596-3560
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
NPI number | 1396773339 |
---|---|
LBN Legal business name | East Texas Medical Center Healthcare Associates |
DBA Doing business as | East Texas Medical Center Trauma Services |
Authorized official | Mangum, Rebecca |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Apr 11th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396773339 | NPPES |
Texas | Other | CE9194 | RAILROAD MEDICARE PIN |
Texas | MEDICAID | 084245201 | RAILROAD MEDICARE PIN |
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