Etmc Physician Group Inc.

LBN: Etmc Physician Group Inc.
Etmc Physician Group Inc. is an health care organization with primary practice located at 1000 S Beckham Ave , Tyler TX 75701-1908. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Etmc Physician Group Inc. can be contacted via phone (903) 590-5611, or through Petrovich, Stephen C via phone (615) 296-3000.

Contact Information

Primary practice address
1000 S Beckham Ave Tyler TX 75701-1908
Phone: (903) 590-5611
Fax: (903) 535-6884
Website:
Map and Directions
Authorized official contact:
Name: Petrovich, Stephen C
Phone: (615) 296-3000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1609382662
LBN Legal business name Etmc Physician Group Inc.
DBA Doing business as
Authorized official Petrovich, Stephen C
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 28th, 2017
Last updated Oct 9th, 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.

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