Department Of State Health Services
Specialty details in registry · Tyler, TX
At a glance
1517 W Front St, Tyler, TX 75702-7822
NPPES record updated Sep 11, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1517 W Front St Attn Billing OfficeTyler, TX 75702-7822
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QP0905X
- Enumeration date
- Nov 28, 2006
- Record updated
- Sep 11, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QA0005X
Specialty details in registry
261QF0050X
Specialty details in registry
261QP0905X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1517 W Front StAttn Billing Office
Tyler, TX 75702-7822
- Phone
- (903) 595-3585
- Fax
- (903) 593-4187
Mailing address
1100 W 49TH STHSR 4&5 - TYLER
AUSTIN, TX 787563101
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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