1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Family Medicine
  6. NPI Profile

ETMC FIRST PHYSICIANS
NPI 1174707483
Family Medicine in Tyler, TX

Active since December 21, 2007
904 S BECKHAM AVE, TYLER, TX 75701(903) 596-3555(903) 596-3560 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Etmc First Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETMC FIRST PHYSICIANS (NPI 1174707483) is a healthcare organization registered as a family medicine in Tyler, Texas and active in the NPI registry since December 2007. The organization lists Kim Pearson-wahl, Vice President, as its authorized official.

NPPES Registry Identity

NPI1174707483
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
Location Address904 S BECKHAM AVETyler, TX 75701-1906
Mailing AddressPo Box 9477Tyler, TX 75711-9477 · (903) 594-2450 · Fax (903) 939-0610
Phone(903) 596-3555
Fax(903) 596-3560
Organization SubpartNo
Authorized OfficialKim Pearson-wahlVice President · (903) 535-6890
Enumeration DateDecember 21, 2007
✔ NPI 1174707483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
904 S BECKHAM AVE, Tyler, TX 75701
Open in Google Maps ↗

Other Names 1

Doing Business AsEtmc First Physicians

Other Identifiers 4

OtherCC6186TX · Railroad Medicare
Medicare PINCC6186TX
Medicare PIN0086AETX
Other00T07KTX · Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARRELL EUGENE RELIFORD ALLEY M.D.
Surgery
904 S BECKHAM AVE, ATTN AMBER ALLEN
TYLER, TX 75701
Smith County (903) 596-3588
EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
Specialist/Technologist, Pathology
904 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 596-3555
EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
Family Medicine
904 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 596-3555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Texas Medical Center Healthcare Associates's NPI number?

The NPI number for East Texas Medical Center Healthcare Associates is 1174707483. It was assigned to this organization in the NPPES registry on December 21, 2007. The provider is doing business as Etmc First Physicians.

Where is East Texas Medical Center Healthcare Associates located?

East Texas Medical Center Healthcare Associates is located at 904 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 596-3555.

What is East Texas Medical Center Healthcare Associates's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for East Texas Medical Center Healthcare Associates was last updated on December 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.