NORTHEAST TEXAS NEUROLOGY ASSOCIATES, P.A. - NPI 1972680130

Q: What is Northeast Texas Neurology Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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About Northeast Texas Neurology Associates, P.a. NPPES

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

NORTHEAST TEXAS NEUROLOGY ASSOCIATES, P.A. (NPI 1972680130) is a healthcare organization registered as a neurology in Tyler, Texas and active in the NPI registry since November 2006. The organization lists Gina M. Jetter, President, as its authorized official.

NPPES Registry Identity

NPI1972680130

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameNORTHEAST TEXAS NEUROLOGY ASSOCIATES, P.A.

Location Address505 S FLEISHEL AVETyler, TX 75702-8413

Mailing Address505 S Fleishel Ave Ste 800Tyler, TX 75702-8413 · (903) 526-7055 · Fax (903) 593-4303

Phone(903) 526-7055

Fax(903) 593-4303

Organization SubpartNo

Authorized OfficialGina M. JetterPresident · (903) 526-7055

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration

NPPES CertifiedAugust 16, 2022

✔ NPI 1972680130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in TX · E6235

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

505 S FLEISHEL AVE, Tyler, TX 75702

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Other Identifiers 2

Medicaid115025205TX

Medicaid143629701TX

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 3

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

DAVID CARNEY M.D.

Orthopaedic Surgery

505 S FLEISHEL AVE
TYLER, TX 75702

Smith County (903) 595-4601

DR. GINA M. JETTER MD

Psychiatry & Neurology (Neurology)

505 S FLEISHEL AVE
TYLER, TX 75702

Smith County (903) 526-7055

FRAQUANIA TALESH FREEMAN APRN

Nurse Practitioner (Primary Care)

505 S FLEISHEL AVE
TYLER, TX 75702

Smith County (903) 526-7055

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 Northeast Texas Neurology Associates, P.A.'s NPI number?

The NPI number for Northeast Texas Neurology Associates, P.A. is 1972680130. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Northeast Texas Neurology Associates, P.A. located?

Northeast Texas Neurology Associates, P.A. is located at 505 S Fleishel Ave, Tyler, TX 75702. The listed phone number is (903) 526-7055.

What is Northeast Texas Neurology Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Northeast Texas Neurology Associates, P.A. was last updated on August 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.