P Praxis·MD
● Active Type 1 · Individual

DR. Jingdong Su

Internal Medicine·Tyler, TX· NPI 1669607479 · Enumerated 2009 · 17 years on NPI
Su is 1 of 21 internal medicine providers in Tyler and 1 of 1069 in Texas.
NPI age
17 years
Enumerated 2009-05-22
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1069 active internal medicine providers in Texas.

NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
22% of peers hold multiple states
Subspecialties
2
In the 52% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-05Enumerated in NPPES
2009 2026

Where they practice

Practice location
501 Saunders Ave Ste 200
Tyler, TX 757027524
📞 9035799800fax 9035925988
Mailing address
Po Box 911230
Dallas, TX 753911230
📞 9729978000fax 9722340813

Specialties

  • Internal Medicine Primary
    An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine...
    TX license #Q8359 taxonomy 207RH0003X
  • Internal Medicine
    A 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,...
    TX license #Q8359 taxonomy 207R00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Identifiers

TypeValueNotes
05 (TX) 358108401
01 (TX) P01701263 RAILROAD

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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