East Texas Vascular Associates, P.A.
LBN: East Texas Vascular Associates, P.A.
East Texas Vascular Associates, P.A. is an health care organization with primary practice located at 700 Olympic Plaza Cir Ste 510 , Tyler TX 75701-1952. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
East Texas Vascular Associates, P.A. can be contacted via phone (903) 595-2636, or through Harris, Pam via phone (903) 595-2636.
Contact Information
Primary practice address
700 Olympic Plaza Cir Ste 510
Tyler TX 75701-1952
Phone: (903) 595-2636
Fax: (903) 595-5560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D4981 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | K0862 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | H4385 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L1987 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | D4981 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | K0862 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | H4385 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | L1987 | Texas |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | H4385 | Texas |
Profile Details
| NPI number | 1750383386 |
|---|---|
| LBN Legal business name | East Texas Vascular Associates, P.A. |
| DBA Doing business as | |
| Authorized official | Harris, Pam |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Aug 5th, 2020 - about 5 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 | 1750383386 | NPPES |
| Texas | MEDICAID | 085672601 |
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