East Texas Neurology

LBN: East Texas Neurology
East Texas Neurology is an health care organization with primary practice located at 1301 Doctors Dr , Tyler TX 75701-2239. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. East Texas Neurology can be contacted via phone (903) 597-3787, or through Vance, Kathi via phone (903) 597-3787.

Contact Information

Primary practice address
1301 Doctors Dr Tyler TX 75701-2239
Phone: (903) 597-3787
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vance, Kathi
Phone: (903) 597-3787

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E2095 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D7080 Texas

Profile Details

NPI number 1841564929
LBN Legal business name East Texas Neurology
DBA Doing business as
Authorized official Vance, Kathi
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2012
Last updated Mar 7th, 2012 - about 14 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 1841564929 NPPES
Other 130010459 RAILROAD MEDICARE
Other 1609803436 RAILROAD MEDICARE
Other 826133177 RAILROAD MEDICARE
Other 00P572 RAILROAD MEDICARE
MEDICAID 128085101 RAILROAD MEDICARE
Other 00ET94 RAILROAD MEDICARE
MEDICAID 135730301 RAILROAD MEDICARE
Other 1184652141 RAILROAD MEDICARE

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