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EAST TEXAS INFUSION CENTER PLLC NPI 1124515879


NPI Information

NPI: 1124515879
Provider Name: EAST TEXAS INFUSION CENTER, PLLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
935 S BAXTER AVE
TYLER, TX
ZIP 75701
Phone: (903) 592-4473
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EAST TEXAS INFUSION CENTER, PLLC is an infectious disease internal medicine in Tyler, TX. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. EAST TEXAS INFUSION CENTER, PLLC NPI is 1124515879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

935 S BAXTER AVE
TYLER, TX
ZIP 75701-245
Phone: (903) 592-4473
Fax: (903) 592-4474

The provider's authorized official is Steven Lynn Hickreson .
The authorized official title is President and has the following contact phone number (903) 592-4473.

The enumeration date for this NPI number is 4/18/2018 and was last updated on 4/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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