EAST TEXAS NEPHROLOGY ASSOCIATION
NPI 1497860449
Specialist in Tyler, TX

Q: What is East Texas Nephrology Association's NPI number?

The NPI number for East Texas Nephrology Association is 1497860449. It was assigned to this organization in the NPPES registry on August 20, 2006.

Q: What is East Texas Nephrology Association's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 20, 2006

700 S FLEISHEL AVE, TYLER, TX 75701(903) 526-6374(903) 526-4578 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About East Texas Nephrology Association NPPES

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

EAST TEXAS NEPHROLOGY ASSOCIATION (NPI 1497860449) is a healthcare organization registered as a specialist in Tyler, Texas and active in the NPI registry since August 2006. The organization lists Molly Mae Bankhead, President, as its authorized official.

NPPES Registry Identity

NPI1497860449

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameEAST TEXAS NEPHROLOGY ASSOCIATION

Location Address700 S FLEISHEL AVETyler, TX 75701-2014

Mailing Address700 S Fleishel AveTyler, TX 75701-2014 · (903) 526-6374 · Fax (903) 526-4578

Phone(903) 526-6374

Fax(903) 526-4578

Organization SubpartNo

Authorized OfficialMolly Mae BankheadPresident · (903) 526-6374

Enumeration DateAugust 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1497860449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in TX · H8527✔ Licensed in TX · H9769

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

700 S FLEISHEL AVE, Tyler, TX 75701

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Other Identifiers 1

Other0086HDTX · Blue Cross Blue Shield

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

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

BRIAN RUIZ DO, MS

Family Medicine

700 S FLEISHEL AVE
TYLER, TX 75701

Smith County (903) 606-5600

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 Nephrology Association's NPI number?

The NPI number for East Texas Nephrology Association is 1497860449. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is East Texas Nephrology Association located?

East Texas Nephrology Association is located at 700 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 526-6374.

What is East Texas Nephrology Association's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for East Texas Nephrology Association was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.