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EAST TEXAS INFECTIOUS DISEASE CONSULTANTS, PLLC
NPI 1912907353
Internal Medicine - Infectious Disease in Tyler, TX

Active since July 28, 2005CLIA 45D2110698 · Waiver
935 S BAXTER AVE, STE 103, TYLER, TX 75701(903) 592-4473(903) 592-4474 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Texas Infectious Disease Consultants, Pllc NPPES

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

EAST TEXAS INFECTIOUS DISEASE CONSULTANTS, PLLC (NPI 1912907353) is a healthcare organization registered as an infectious disease in Tyler, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Carol Conover, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912907353
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameEAST TEXAS INFECTIOUS DISEASE CONSULTANTS, PLLC
Location Address935 S BAXTER AVE, STE 103Tyler, TX 75701-2245
Mailing AddressPo Box 131629Tyler, TX 75713-1629 · (903) 592-4473 · Fax (903) 592-4474
Phone(903) 592-4473
Fax(903) 592-4474
Organization SubpartNo
Authorized OfficialCarol ConoverAdministrator · (903) 592-4473
Enumeration DateJuly 28, 2005
Last NPPES UpdateApril 2, 2008
✔ NPI 1912907353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · 207R10200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
935 S BAXTER AVE, Tyler, TX 75701
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Other Identifiers 2

Medicaid157701701TX
Medicare ID-Type Unspecified00948UTX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2110698

East Texas Infectious Disease Consultants · Tyler, TX
Active · expires Mar 21, 2028
CLIA Number45D2110698
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorRichard R. Yates
Laboratory Phone(903) 592-4473
Laboratory LocationEast Texas Infectious Disease Consultants935 S Baxter, Suite 103, Tyler, TX 75701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

EAST TEXAS INFUSION CENTER, PLLC
Internal Medicine (Infectious Disease)
935 S BAXTER AVE
TYLER, TX 75701
Smith County (903) 592-4473
THOMAS M MCGOVERN MD PLLC
Surgery
935 S BAXTER AVE
TYLER, TX 75701
Smith County (903) 596-7775
DR. STEVEN L. HICKERSON M.D.
Internal Medicine (Infectious Disease)
935 S BAXTER AVE, STE 103
TYLER, TX 75701
Smith County (903) 592-4473
DR. THOMAS MICHAEL MCGOVERN MD
Surgery
935 S BAXTER AVE
TYLER, TX 75701
Smith County (903) 596-7775
RICHARD R YATES MD
Internal Medicine (Infectious Disease)
935 S BAXTER AVE, STE 103
TYLER, TX 75701
Smith County (903) 592-4473

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 Infectious Disease Consultants, PLLC's NPI number?

The NPI number for East Texas Infectious Disease Consultants, PLLC is 1912907353. It was assigned to this organization in the NPPES registry on July 28, 2005.

Where is East Texas Infectious Disease Consultants, PLLC located?

East Texas Infectious Disease Consultants, PLLC is located at 935 S Baxter Ave Ste 103, Tyler, TX 75701. The listed phone number is (903) 592-4473.

What is East Texas Infectious Disease Consultants, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Does East Texas Infectious Disease Consultants, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2110698) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Texas Infectious Disease Consultants, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list East Texas Infectious Disease Consultants, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Texas Infectious Disease Consultants, PLLC was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.