Etmc First Physicians is a Chiropractor Clinic in Tyler, Texas. It is situated at 904 S Beckham Ave, Tyler and its contact number is 903-596-3555. The authorized person of Etmc First Physicians is Ms. Kim Pearson-wahl
who is Vice President of the clinic and their contact number is 903-535-6890.
Complete Clinic Profile:
Etmc First Physicians Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization: | Chiropractor |
Clinic Address: | 904 S Beckham Ave, Tyler, Texas, 75701-1906 |
Phone: | 903-596-3555 |
Fax: | 903-596-3560 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: | Ms. Kim Pearson-wahl |
Position: | Vice President |
Contact Number: | 903-535-6890 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Etmc First Physicians Clinic are as mentioned below.
NPI Number: | 1629252937 |
NPI Enumeration Date: | 21 Dec, 2007 |
NPI Last Update On: | 21 Dec, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Etmc First Physicians are as mentioned below.
Specialization | License Number | State | Status | |
Family Medicine | | | Primary | |
Chiropractor | | | Secondary | |
Internal Medicine | | | Secondary | |
Cardiovascular Disease | | | Secondary | |
Endocrinology, Diabetes & Metabolism | | | Secondary | |
Obstetrics & Gynecology | | | Secondary | |
Orthopaedic Surgery | | | Secondary | |
Pediatrics | | | Secondary | |
Surgery | | | Secondary | |
Urology | | | Secondary | |
Pain Medicine | | | Secondary | |
Interventional Pain Medicine | | | Secondary | |
Podiatrist | | | Secondary | |
Physician Assistant | | | Secondary | |
Nurse Practitioner | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier | Type | State | Issuer |
00T07K | Other | Texas | Blue Cross |
CD9882 | Other | Texas | Railroad Medicare |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: | Etmc First Physicians Po Box 9477, Tyler, Texas |
Zip: | 75711-9477 |
Phone Number: | 903-594-2450 |