EAST TEXAS MEDICAL CENTER TRAUMA SERVICES
NPI 1396773339
Surgery in Tyler, TX

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 29, 2006

1020 E IDEL ST, TYLER, TX 75701(903) 596-3555(903) 596-3560 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About East Texas Medical Center Trauma Services NPPES

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

EAST TEXAS MEDICAL CENTER TRAUMA SERVICES (NPI 1396773339) is a healthcare organization registered as a surgery in Tyler, Texas and active in the NPI registry since June 2006. The organization lists Rebecca Mangum, Vp, as its authorized official.

NPPES Registry Identity

NPI1396773339

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameEAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES

Location Address1020 E IDEL STTyler, TX 75701-2024

Mailing AddressPo Box 131027Tyler, TX 75713-1027

Phone(903) 596-3555

Fax(903) 596-3560

Organization SubpartNo

Authorized OfficialRebecca MangumVp · (903) 596-3594

Enumeration DateJune 29, 2006

Last NPPES UpdateApril 11, 2017

✔ NPI 1396773339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

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 soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1020 E IDEL ST, Tyler, TX 75701

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Other Names 1

Doing Business AsEast Texas Medical Center Trauma Services

Other Identifiers 3

Medicare PIN00N59FTX

OtherCE9194TX · Railroad Medicare Pin

Medicaid084245201TX

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 8

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

DYLAN TAYLOR HORINEK NP

Nurse Practitioner