P Praxis·MD
● Active Type 2 · Organization

East Texas Vascular Associates, P.A.

Surgery·Tyler, TX· NPI 1750383386 · Enumerated 2005 · 20 years on NPI
East Texas Vascular Associates, P.A. is 1 of 3028 surgery organizations in Texas.
NPI age
20 years
Enumerated 2005-08-12
Primary specialty
Surgery
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harris
Practice Administrator
Last NPPES update
2020-08-05
Source: monthly bulk 2026-05

How this organization compares

Across 3028 active surgery providers in Texas.

NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 27% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
700 Olympic Plaza Cir Ste 510
Tyler, TX 757011952
📞 9035952636fax 9035955560
Mailing address
700 Olympic Plaza Cir Ste 510
Tyler, TX 757011952
📞 9035952636fax 9035955560

Authorized official

Pam Harris
Practice Administrator
📞 9035952636

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...
    TX license #D4981TX license #L1987TX license #K0862TX license #H4385 taxonomy 208600000X
  • Colon & Rectal Surgery
    A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues...
    TX license #H4385 taxonomy 208C00000X
  • Surgery
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    TX license #D4981TX license #K0862TX license #H4385TX license #L1987 taxonomy 2086S0129X

Identifiers

TypeValueNotes
05 (TX) 085672601

Practice context

Single-site organization. Only one practice location on file.

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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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