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

EAST TEXAS VASCULAR ASSOCIATES, P.A.
NPI 1750383386
Surgery in Tyler, TX

Active since August 12, 2005
700 OLYMPIC PLAZA CIR STE 510, TYLER, TX 75701(903) 595-2636(903) 595-5560 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Texas Vascular Associates, P.a. NPPES

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

EAST TEXAS VASCULAR ASSOCIATES, P.A. (NPI 1750383386) is a healthcare organization registered as a surgery in Tyler, Texas and active in the NPI registry since August 2005. The organization lists Pam Harris, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1750383386
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameEAST TEXAS VASCULAR ASSOCIATES, P.A.
Location Address700 OLYMPIC PLAZA CIR STE 510Tyler, TX 75701-1952
Mailing Address700 Olympic Plaza Cir Ste 510Tyler, TX 75701-1952 · (903) 595-2636 · Fax (903) 595-5560
Phone(903) 595-2636
Fax(903) 595-5560
Organization SubpartNo
Authorized OfficialPam HarrisPractice Administrator · (903) 595-2636
Enumeration DateAugust 12, 2005
Last NPPES UpdateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1750383386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in TX · D4981✔ Licensed in TX · L1987✔ Licensed in TX · K0862✔ Licensed in TX · H4385
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.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License D4981 (TX), K0862 (TX), H4385 (TX), L1987 (TX)
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License H4385 (TX)
700 OLYMPIC PLAZA CIR STE 510, Tyler, TX 75701
Open in Google Maps ↗

Other Identifiers 1

Medicaid085672601TX

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

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 Vascular Associates, P.A.'s NPI number?

The NPI number for East Texas Vascular Associates, P.A. is 1750383386. It was assigned to this organization in the NPPES registry on August 12, 2005.

Where is East Texas Vascular Associates, P.A. located?

East Texas Vascular Associates, P.A. is located at 700 Olympic Plaza Cir Ste 510, Tyler, TX 75701. The listed phone number is (903) 595-2636.

What is East Texas Vascular Associates, P.A.'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 Vascular Associates, P.A. was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.