TYLER CARDIOVASCULAR CONSULTANTS P.A. NPI 1376538801

NPI Information

NPI: 1376538801
Provider Name: TYLER CARDIOVASCULAR CONSULTANTS P.A.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2608 MCDONALD RD STE 100
TYLER, TX
ZIP 75701
Phone: (903) 595-5514
Get Directions

TYLER CARDIOVASCULAR CONSULTANTS P.A. is a cardiovascular disease internal medicine in Tyler, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. TYLER CARDIOVASCULAR CONSULTANTS P.A. NPI is 1376538801. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2608 MCDONALD RD STE 100
TYLER, TX
ZIP 75701-934
Phone: (903) 595-5514

The provider's authorized official is Thaddeus R Tolleson .
The authorized official title is President and has the following contact phone number (903) 595-5514.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 7/22/2015.

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	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
3	363LF0000X	Nurse Practitioner	Family	No
4	363AM0700X	Physician Assistant	Medical	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

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
1	079756501	MEDICAID	TEXAS
2	00065K	MEDICARE PIN	TEXAS
3	CN7303	MEDICARE PIN	TEXAS
4	00065K	OTHER	TEXAS	BCBS OF TEXAS

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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