NPI age
20 years
Enumerated 2006-05-27
● Active
Type 1 · Individual
Ellen Stockton Walraven, M.D.
Walraven is 1 of 171 internal medicine providers in Tyler and 1 of 12343 in Texas.
Primary specialty
Internal Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-05-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 12343 active internal medicine providers in Texas.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
520 Douglas Blvd
Tyler, TX 757028307
Mailing address
Po Box 846098
Dallas, TX 752846098
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8GQ837 | BCBS |
| 01 (TX) | 75-2616977-007 | TRICARE |
| 05 (TX) | 099129105 |
Practice context
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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