| East Texas Infectious Disease Consultants, Pllc | |
|
935 S Baxter Ave Ste 103 Tyler TX 75701-2245 | |
| (903) 592-4473 | |
| (903) 592-4474 |
| Full Name | East Texas Infectious Disease Consultants, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 935 S Baxter Ave, Tyler, Texas |
| Authorized Official Name and Position | Carol Conover (ADMINISTRATOR) |
| Authorized Official Contact | 9035924473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Infectious Disease Consultants, Pllc Po Box 131629 Tyler TX 75713-1629 Ph: (903) 592-4473 | East Texas Infectious Disease Consultants, Pllc 935 S Baxter Ave Ste 103 Tyler TX 75701-2245 Ph: (903) 592-4473 |
| NPI Number | 1912907353 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 04/02/2008 |
| Medicare PECOS PAC ID | 7911001375 |
|---|---|
| Medicare Enrollment ID | O20070326000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912907353 | NPI | - | NPPES |
| 157701701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 207R10200X (Texas) | Primary |
| Provider Name | June M Belt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497708960 PECOS PAC ID: 3274596671 Enrollment ID: I20041106000198 |
| Provider Name | Steven L Hickerson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376543546 PECOS PAC ID: 5496718504 Enrollment ID: I20041110000069 |
| Provider Name | Richard R Yates |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972503209 PECOS PAC ID: 5092778944 Enrollment ID: I20041110001309 |
| Provider Name | Katheryn Lea Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891734489 PECOS PAC ID: 8325060221 Enrollment ID: I20051220000442 |
| Provider Name | Debbie A Bridges |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821054776 PECOS PAC ID: 3173528783 Enrollment ID: I20061003000228 |
| Provider Name | Mariejane Braza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144467515 PECOS PAC ID: 7618146218 Enrollment ID: I20110817000179 |
| Provider Name | Dena Schueler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881944304 PECOS PAC ID: 1052562816 Enrollment ID: I20121105000188 |
| Provider Name | Alicia Rose Adkison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104287929 PECOS PAC ID: 2466741368 Enrollment ID: I20160517000377 |
Pure Radiance Laser Retreat Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6722 S Broadway Ave, Tyler, TX 75703 Phone: 903-561-0300 | |
Clifford D. Mullins, D.c., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14653 Eastside Rd, Tyler, TX 75707 Phone: 903-566-4449 | |
Frank P Reuter Jr Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 S Bois D Arc Ave, Tyler, TX 75701 Phone: 903-597-5579 Fax: 903-597-5722 | |
David W Ball Md Internal Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5407 New Copeland Rd Ste 200, Tyler, TX 75703 Phone: 903-330-2081 Fax: 903-630-9309 | |
Integrity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 Old Bullard Rd Ste B, Tyler, TX 75703 Phone: 903-630-5595 Fax: 903-630-5599 | |
Clinica Hispana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S Southwest Loop 323 Ste 140, Tyler, TX 75702 Phone: 903-530-0240 | |
Bwbl Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6770 Old Jacksonville Hwy Ste 101, Tyler, TX 75703 Phone: 903-352-3250 Fax: 903-221-9183 |