P Praxis·MD
● Active Type 2 · Organization

East Texas Medical Center Healthcare Associates

Surgery·Tyler, TX· NPI 1396773339 · Enumerated 2006 · 19 years on NPI
East Texas Medical Center Healthcare Associates is 1 of 3028 surgery organizations in Texas.
NPI age
19 years
Enumerated 2006-06-29
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mangum
Vp
Last NPPES update
2017-04-11
Source: monthly bulk 2026-05

How this organization compares

Across 3028 active surgery providers in Texas.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1020 E Idel St
Tyler, TX 757012024
📞 9035963555fax 9035963560
Mailing address
Po Box 131027
Tyler, TX 757131027

Authorized official

Rebecca Mangum
Vp
📞 9035963594

Individual providers at this organization

8 individual providers on file at this primary practice address.

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    taxonomy 208600000X

Identifiers

TypeValueNotes
01 (TX) CE9194 RAILROAD MEDICARE PIN
05 (TX) 084245201

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • East Texas Medical Center Trauma Services
    Type code 3 recorded 2006-06-29

Practice context

Multi-provider organization. 8 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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