Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

East Texas Medical Center Healthcare Associates

Organization Surgery Physician · NPI 1396773339

East Texas Medical Center Healthcare Associates provides Surgery Physician services in Tyler, Texas. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1020 E Idel St
Tyler, TX 75701-2024
Phone: (903) 596-3555
Fax: (903) 596-3560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1396773339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Mangum — Vp · (903) 596-3594
Other names East Texas Medical Center Trauma Services
NPI enumeratedJune 29, 2006
Last updated in NPPESApril 11, 2017
Mailing addressPo Box 131027, Tyler, TX 75713-1027

Other providers in Tyler