Organization · Type 2 NPI

East Texas Vascular Associates, P.a.

Surgery Physician · Tyler, TX

NPI number 1750383386 Active

Practice location

700 Olympic Plaza Cir Ste 510
Tyler, TX 75701-1952

Fax (903) 595-5560

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XD4981 (TX)
Surgery Physician 208600000XK0862 (TX)
Surgery Physician 208600000XH4385 (TX)
Surgery Physician 208600000XL1987 (TX)
Vascular Surgery Physician 2086S0129XD4981 (TX)
Vascular Surgery Physician 2086S0129XK0862 (TX)
Vascular Surgery Physician 2086S0129XH4385 (TX)
Vascular Surgery Physician 2086S0129XL1987 (TX)
Colon & Rectal Surgery Physician 208C00000XH4385 (TX)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1750383386

East Texas Vascular Associates, P.a.'s National Provider Identifier is 1750383386, issued on Aug 12, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Tyler, TX. The record was last updated on Aug 5, 2020.