Organization · Type 2 NPI

Heaton Ear Nose and Throat Associates of East Texas P A

Otolaryngology Physician · Tyler, TX

NPI number 1306988035 Active

Practice location

1136 E Grande Blvd
Tyler, TX 75703-3982

Fax (903) 595-3304

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician Primary	207Y00000X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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NPI record

NPI: 1306988035
Entity type: Organization (Type 2)
Issued: Feb 12, 2007
Last updated: Mar 22, 2019
Status: Active

Other names

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Ent Associates of East Texas · doing business as
Ent Associates of East Texas · doing business as

Authorized official

Jessica Gamble
Billing Manager
(903) 592-5601

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306988035

Heaton Ear Nose and Throat Associates of East Texas P A's National Provider Identifier is 1306988035, issued on Feb 12, 2007. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Tyler, TX. The record was last updated on Mar 22, 2019.