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PREMIER NEPHROLOGY OF TYLER
NPI 1265721401
Internal Medicine - Nephrology in Tyler, TX

Active since March 28, 2011
1304 DOCTORS DR, TYLER, TX 75701(903) 566-2677(903) 848-9513 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Nephrology Of Tyler NPPES

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

PREMIER NEPHROLOGY OF TYLER (NPI 1265721401) is a healthcare organization registered as a nephrology in Tyler, Texas and active in the NPI registry since March 2011. The organization lists Terry Dale Woodard, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1265721401
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePREMIER NEPHROLOGY OF TYLER
Location Address1304 DOCTORS DRTyler, TX 75701-2262
Mailing Address2702 E 5th St, 339Tyler, TX 75701-5021 · (903) 566-2677 · Fax (903) 848-9513
Phone(903) 566-2677
Fax(903) 848-9513
Organization SubpartNo
Authorized OfficialTerry Dale WoodardMedical Doctor · (903) 566-2677
Enumeration DateMarch 28, 2011
Last NPPES UpdateMay 19, 2011
✔ NPI 1265721401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · H8527
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1304 DOCTORS DR, Tyler, TX 75701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

PHYSICIANS CARING FOR PEOPLE
Family Medicine
1304 DOCTORS DR
TYLER, TX 75701
Smith County (903) 526-6963
KENNETH DONALD HAYGOOD MD
Family Medicine
1304 DOCTORS DR
TYLER, TX 75701
Smith County (903) 531-2320

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 Premier Nephrology Of Tyler's NPI number?

The NPI number for Premier Nephrology Of Tyler is 1265721401. It was assigned to this organization in the NPPES registry on March 28, 2011.

Where is Premier Nephrology Of Tyler located?

Premier Nephrology Of Tyler is located at 1304 Doctors Dr, Tyler, TX 75701. The listed phone number is (903) 566-2677.

What is Premier Nephrology Of Tyler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Premier Nephrology Of Tyler was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.