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NEURO IR OF EAST TEXAS NPI 1508376716


NPI Information

NPI: 1508376716
Provider Name: NEURO IR OF EAST TEXAS
Classification: Radiology - 2085N0700X
Entity Type: Organization

Specialization: Neuroradiology

Address:
700 OLYMPIC PLAZA CIR STE 910
TYLER, TX
ZIP 75701
Phone: (903) 705-0072
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NEURO IR OF EAST TEXAS is a neuroradiology radiology in Tyler, TX. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. NEURO IR OF EAST TEXAS NPI is 1508376716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 OLYMPIC PLAZA CIR STE 910
TYLER, TX
ZIP 75701-915
Phone: (903) 705-0072
Fax: (903) 705-0068

The provider's authorized official is Michelle Black .
The authorized official title is Practice Administrator and has the following contact phone number (903) 705-0072.

The enumeration date for this NPI number is 10/3/2017 and was last updated on 11/4/2023.


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
12085N0700XRadiologyNeuroradiologyYes

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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