Gastroenterology Of Tyler, P.A.
LBN: Gastroenterology Of Tyler, P.A.
Gastroenterology Of Tyler, P.A. is an health care organization with primary practice located at 700 Olympic Plaza Cir Suite 410, Tyler TX 75701-1951. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty.
Gastroenterology Of Tyler, P.A. can be contacted via phone (903) 597-0202, or through Hutto, Stephen A via phone (903) 597-0202.
Contact Information
Primary practice address
700 Olympic Plaza Cir Suite 410
Tyler TX 75701-1951
Phone: (903) 597-0202
Fax: (903) 597-0231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1598947251 |
|---|---|
| LBN Legal business name | Gastroenterology Of Tyler, P.A. |
| DBA Doing business as | |
| Authorized official | Hutto, Stephen A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Nov 17th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598947251 | NPPES |
| Texas | MEDICAID | 152564401 | |
| Texas | Other | 0013JE | |
| Texas | Other | 100016832 |
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