Tyler Physical Medicine Associates PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

K4082 Issued in TX

Legal business name

TYLER PHYSICAL MEDICINE ASSOCIATES PA

Practice address

2708 E 5TH St
Tyler, TX 75701-5021

Phone

(903) 526-2323

Fax

(903) 526-2484

NPI assigned

Feb 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James F Holleman Holleman Jr., DO

Title

Direct Owner

Phone

(903) 526-2323

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1265570725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015021",
            "telephone_number": "903-526-2323",
            "fax_number": "903-526-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015021",
            "telephone_number": "903-526-2323",
            "fax_number": "903-526-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER PHYSICAL MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HOLLEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F HOLLEMAN",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "903-526-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6215",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K4082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162882801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Optical Lab Inc
• Tyler Oral & Facial Surgery Inc.
• Tyler Orthodontics, PLLC
• Tyler Orthopedic Specialists PA
• Tyler Periodontics, PLLC
• Tyler Physician Services, PLLC
• Tyler Professional Surgical Associate
• Tyler Prosthetics Inc
• Tyler Psychology Group LLP
• Tyler Radiology Associates

• Interventional Pain Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.