| East Texas Neurology | |
|
1301 Doctors Dr Tyler TX 75701-2239 | |
| (903) 597-3787 | |
| Not Available |
| Full Name | East Texas Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1301 Doctors Dr, Tyler, Texas |
| Authorized Official Name and Position | Kathi Vance (OFFICE MANAGER) |
| Authorized Official Contact | 9035973787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Neurology 1301 Doctors Dr Tyler TX 75701-2239 Ph: (903) 597-3787 | East Texas Neurology 1301 Doctors Dr Tyler TX 75701-2239 Ph: (903) 597-3787 |
| NPI Number | 1841564929 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841564929 | NPI | - | NPPES |
| 130010459 | Other | RAILROAD MEDICARE | |
| 1609803436 | Other | NPI | |
| 826133177 | Other | RAILROAD MEDICARE | |
| 00P572 | Other | BLUE CROSS | |
| 128085101 | Medicaid | TX | |
| 00ET94 | Other | BLUE CROSS | |
| 135730301 | Medicaid | TX | |
| 1184652141 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | E2095 (Texas) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | D7080 (Texas) | Secondary |
University Of Texas Health Science Center At Tyler Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 | |
Purple Crayon Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Front St Ste 227, Tyler, TX 75702 Phone: 903-287-0646 Fax: 903-560-9500 | |
Mission Partner Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16159 Chris Ln, Tyler, TX 75703 Phone: 903-839-9396 | |
Willow Bend Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2902 State Highway 31 E, Tyler, TX 75702 Phone: 903-596-8900 Fax: 903-596-8903 | |
Trinity Integrative Care, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12863 County Road 192, Tyler, TX 75703 Phone: 903-805-0229 | |
Paideia Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3815 Pine Manor Dr, Tyler, TX 75701 Phone: 907-885-5955 | |
Ron L Roberts Ms Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 606 S Fleishel Ave, Tyler, TX 75701 Phone: 903-581-0933 Fax: 903-581-3977 |