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

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: July 26, 2026.

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
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

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.

Nurse Practitioner
1020 E IDEL ST
TYLER, TX 75701
Physician Assistant (Medical)
1020 E IDEL ST
TYLER, TX 75701
Surgery (Surgical Critical Care)
1020 E IDEL ST
TYLER, TX 75701
Nurse Practitioner (Acute Care)
1020 E IDEL ST
TYLER, TX 75701
Physician Assistant (Surgical)
1020 E IDEL ST
TYLER, TX 75701
Nurse Practitioner (Family)
1020 E IDEL ST
TYLER, TX 75701
Surgery (Surgical Critical Care)
1020 E IDEL ST
TYLER, TX 75701
Nurse Practitioner
1020 E IDEL ST
TYLER, TX 75701

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 1396773339. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as East Texas Medical Center Trauma Services.

Where is East Texas Medical Center Healthcare Associates located?

East Texas Medical Center Healthcare Associates is located at 1020 E Idel St, 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 Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for East Texas Medical Center Healthcare Associates was last updated on April 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.