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TYLER OFFICE OF PEDIATRICS P A
NPI 1851574032
Specialist in Tyler, TX

Active since December 11, 2007
4801 TROUP HWY, SUITE 301, TYLER, TX 75703(903) 595-3220(903) 595-3887 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Office Of Pediatrics P A NPPES

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

TYLER OFFICE OF PEDIATRICS P A (NPI 1851574032) is a healthcare organization registered as a specialist in Tyler, Texas and active in the NPI registry since December 2007. The organization lists Jeffrey P Smith, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1851574032
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTYLER OFFICE OF PEDIATRICS P A
Location Address4801 TROUP HWY, SUITE 301Tyler, TX 75703-2356
Mailing AddressPo Box 131866Tyler, TX 75713-1866 · (903) 595-3220 · Fax (903) 595-3887
Phone(903) 595-3220
Fax(903) 595-3887
Organization SubpartNo
Authorized OfficialJeffrey P SmithOwner/physician · (903) 595-3220
Enumeration DateDecember 11, 2007
Last NPPES UpdateApril 9, 2012
✔ NPI 1851574032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · J4527
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.
4801 TROUP HWY, Tyler, TX 75703
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Other Identifiers 2

Medicaid043902803TX
Medicaid118586004TX

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 20

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

KIMBERLY WESTBROOK
Occupational Therapist (Pediatrics)
4801 TROUP HWY, STE. 800
TYLER, TX 75703
Smith County (903) 939-2800
MARY PAIGE WOODFIN
Occupational Therapist
4801 TROUP HWY, SUITE 800
TYLER, TX 75703
Smith County (903) 939-2800
PEDI SPOT LLC
Clinic/Center (Rehabilitation)
4801 TROUP HWY, SUITE 800
TYLER, TX 75703
Smith County (903) 939-2800
LAUREN N BUSH
Occupational Therapist (Pediatrics)
4801 TROUP HWY, SUITE 800
TYLER, TX 75703
Smith County (903) 939-2800
HANNAH ELISABETH OSBORNE
Occupational Therapist
4801 TROUP HWY, SUITE 800
TYLER, TX 75703
Smith County (903) 939-2800
SANDRA COLLINS OT
Occupational Therapist
4801 TROUP HWY, STE 800
TYLER, TX 75703
Smith County (903) 939-2800
NATALIE REAVES
Specialist/Technologist (Speech-Language Assistant)
4801 TROUP HWY, SUITE 800
TYLER, TX 75703
Smith County (903) 939-2800
VERONIKA BAILEY M.S. CCC-SLP
Speech-Language Pathologist
4801 TROUP HWY, STE 800
TYLER, TX 75703
Smith County (903) 525-9130

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 Tyler Office Of Pediatrics P A's NPI number?

The NPI number for Tyler Office Of Pediatrics P A is 1851574032. It was assigned to this organization in the NPPES registry on December 11, 2007.

Where is Tyler Office Of Pediatrics P A located?

Tyler Office Of Pediatrics P A is located at 4801 Troup Hwy Suite 301, Tyler, TX 75703. The listed phone number is (903) 595-3220.

What is Tyler Office Of Pediatrics P A'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 Tyler Office Of Pediatrics P A was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.