Premier Nephrology of Tyler

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

H8527 Issued in TX

Legal business name

PREMIER NEPHROLOGY OF TYLER

Practice address

1304 Doctors Dr
Tyler, TX 75701-2262

Phone

(903) 566-2677

Fax

(903) 848-9513

NPI assigned

Mar 28, 2011

Organization subpart

No

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

Authorized official

Name

Terry Dale Woodard, M.D.

Title

Medical Doctor

Phone

(903) 566-2677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Christine Pate, FNP

  • Family Nurse Practitioner
  • Jasper, TX
  • NPI 1053657114
  NPD (past)

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1265721401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 E 5TH ST",
            "address_2": "339",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015021",
            "telephone_number": "903-566-2677",
            "fax_number": "903-848-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012262",
            "telephone_number": "903-566-2677",
            "fax_number": "903-848-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NEPHROLOGY OF TYLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "903-566-2677",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "H8527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey G Prater, O.D.
• Scott Clifford Pratt, PT, DPT
• Preddy Chiropractic PC
• Allan George Preddy, DC
• Premier Kids Care Inc
• Premise Health of Texas Medical, P.a
• Present Mind Counseling Center, PLLC
• Preston E Harrison Jr MD PA
• Annette Preston
• Tina R Prevost

• Nephrology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.