Organization Active NPI

HRS Medical PLLC

  • Clinical Medical Laboratory
  • Tyler, TX
National Provider Identifier
1043882236
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jul 19, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20210809002625 TX Part B Supplier - Mass Immunization (Roster Biller Only) 4486058773 Practice locations: Tyler, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.