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

East Texas Vascular Associates, PA

Organization Surgery Physician · NPI 1750383386

East Texas Vascular Associates, PA provides Surgery Physician services in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
Specialties on file
9
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 Olympic Plaza Cir Ste 510
Tyler, TX 75701-1952
Phone: (903) 595-2636
Fax: (903) 595-5560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence D4981 (TX)
Surgery Physician Taxonomy 208600000X · Licence K0862 (TX)
Surgery Physician Taxonomy 208600000X · Licence H4385 (TX)
Surgery Physician Taxonomy 208600000X · Licence L1987 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence D4981 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence K0862 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence H4385 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence L1987 (TX)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence H4385 (TX)

Record details

NPI number1750383386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pam Harris — Practice Administrator · (903) 595-2636
NPI enumeratedAugust 12, 2005
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address700 Olympic Plaza Cir Ste 510, Tyler, TX 75701-1952

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