NPI age
15 years
Enumerated 2011-05-27
● Active
Type 1 · Individual
Mary Kathryn Eagleton, M.D.
Eagleton is 1 of 57 pediatrics providers in Tyler and 1 of 7055 in Texas.
Primary specialty
Pediatrics
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7055 active pediatrics providers in Texas.
NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-05Enumerated in NPPES
2011
2026
Where they practice
Practice location
8288 S Broadway Ave
Tyler, TX 757035262
Mailing address
Po Box 846098
Dallas, TX 752846098
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1912 W. 35th St, Children'S Medical Group
Austin, TX 78703
Location 3
1912 W. 35th St, Children'S Medical Group
Austin, TX 78703
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P01912556 | MEDICARE RAIL ROAD |
| 05 (TX) | 376763401 | |
| 01 (TX) | 75-2616977-118 | TRICARE |
| 01 (TX) | 8HE842 | BCBS |
Practice context
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 7055 Pediatrics providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.