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

Neuro Ir of East Texas

Organization Neuroradiology Physician · NPI 1508376716

Neuro Ir of East Texas provides Neuroradiology Physician services in Tyler, Texas. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

700 Olympic Plaza Cir Ste 910
Tyler, TX 75701-1915
Phone: (903) 705-0072
Fax: (903) 705-0068
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X

Record details

NPI number1508376716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Black — Practice Administrator · (903) 705-0072
NPI enumeratedOctober 3, 2017
Last updated in NPPESNovember 4, 2023
Certification dateOctober 24, 2022
Mailing address700 Olympic Plaza Cir Ste 910, Tyler, TX 75701-1915

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