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HEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A NPI 1306988035


NPI Information

NPI: 1306988035
Provider Name: HEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A

Doing Business As: ENT ASSOCIATES OF EAST TEXAS

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 45D2164057

Address:
1136 E GRANDE BLVD
TYLER, TX
ZIP 75703
Phone: (903) 592-5601
Get Directions

HEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A is an otolaryngology in Tyler, TX. The provider is 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 injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. HEATON EAR NOSE AND THROAT ASSOCIATES OF EAST TEXAS P A NPI is 1306988035. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ent Associates Of East Texas.

The provider's business location address is:

1136 E GRANDE BLVD
TYLER, TX
ZIP 75703-982
Phone: (903) 592-5601
Fax: (903) 595-3304

The provider's authorized official is Jessica Gamble .
The authorized official title is Billing Manager and has the following contact phone number (903) 592-5601.

The CLIA number assigned to this NPI record is 45D2164057 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 3/22/2019.


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
1207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1085099201MEDICAIDTEXAS
200T02EOTHERTEXASBCBS
3CA8539OTHERTEXASPALMETTO, RR MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.