Active NPI
HRS Medical PLLC
- Clinical Medical Laboratory
- Tyler, TX
National Provider Identifier
1043882236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HRS MEDICAL PLLC
- Practice address
- 1820 Shiloh Rd Ste 1200
Tyler, TX 75703-2435 - Phone
- (903) 502-4382
- NPI assigned
- Jul 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Keshia Neal, RN
- Title
- Co-Owner
- Phone
- (903) 502-4382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1820 Shiloh Rd Ste 1200
Tyler, TX 75703-2435
Mailing address
539 W Commerce St # 6275
Dallas, TX 75208-1953
Phone (903) 502-4382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210809002625 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 4486058773 | Practice locations: Tyler, TX |
National Provider Directory
National Provider DirectoryLocations
1820 Shiloh Rd
Ste 1200
Tyler, TX 75703
Phone (903) 502-4382
212 Old Grande Blvd
Ste C118
Tyler, TX 75703
Phone (817) 249-4807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626652800000",
"number": "1043882236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 W COMMERCE ST # 6275",
"city": "DALLAS",
"state": "TX",
"postal_code": "752081953",
"telephone_number": "903-502-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 SHILOH RD STE 1200",
"city": "TYLER",
"state": "TX",
"postal_code": "757032435",
"telephone_number": "903-502-4382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HRS MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-15",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A",
"authorized_official_last_name": "NEAL",
"authorized_official_first_name": "KESHIA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "903-502-4382",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.