Etmc First Physicians

LBN: East Texas Medical Center Healthcare Associates
Etmc First Physicians is an health care organization with primary practice located at 904 S Beckham Ave , Tyler TX 75701-1906. The organization recently has 15 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. East Texas Medical Center Healthcare Associates can be contacted via phone (903) 596-3555, or through Pearson-Wahl, Kim via phone (903) 535-6890.

Contact Information

Primary practice address
904 S Beckham Ave Tyler TX 75701-1906
Phone: (903) 596-3555
Fax: (903) 596-3560
Website:
Map and Directions
Authorized official contact:
Name: Pearson-Wahl, Kim
Phone: (903) 535-6890

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Urology 208800000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1629252937
LBN Legal business name East Texas Medical Center Healthcare Associates
DBA Doing business as Etmc First Physicians
Authorized official Pearson-Wahl, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2007
Last updated Dec 21st, 2007 - 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 1629252937 NPPES
Texas Other 00T07K BLUE CROSS
Texas Other CD9882 BLUE CROSS

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