Active NPI
Dr. R. Anton Lester Jr & Associates
- Family Medicine Physician
- Tyler, TX
National Provider Identifier
1669702585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F3204
- Legal business name
- DR. R. ANTON LESTER JR & ASSOCIATES
- Practice address
- 214 W Houston St
Tyler, TX 75702-8136 - Phone
- (903) 592-8101
- Fax
- (903) 526-0565
- NPI assigned
- Dec 29, 2009
- 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
- Dr. R Anton Lester III, D.O
- Title
- Physician
- Phone
- (903) 592-8101
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F3204 | TX | Primary |
| Internal Medicine Physician | 207R00000X | L7322 | TX | |
| Family Nurse Practitioner | 363LF0000X | 681561 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | 607316 | TX |
Addresses
Primary practice location
214 W Houston St
Tyler, TX 75702-8136
Mailing address
214 W Houston St
Tyler, TX 75702-8136
Phone (903) 592-8101
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420343501375 | Other | TX | ICS |
| 218401201 | Medicaid | TX | |
| 218401202 | Medicaid | TX | |
| 1751398494967001 | Other | TX | TX REHAB |
| ZNHW317 | Other | TX | IACS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317772800000",
"number": "1669702585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W HOUSTON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757028136",
"telephone_number": "903-592-8101",
"fax_number": "903-526-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W HOUSTON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757028136",
"telephone_number": "903-592-8101",
"fax_number": "903-526-0565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. R. ANTON LESTER JR & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-29",
"last_updated": "2011-10-05",
"status": "A",
"authorized_official_last_name": "LESTER",
"authorized_official_first_name": "R",
"authorized_official_middle_name": "ANTON",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "903-592-8101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "F3204",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "L7322",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "681561",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "607316",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ICS",
"identifier": "420343501375",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218401201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218401202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX REHAB",
"identifier": "1751398494967001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IACS",
"identifier": "ZNHW317",
"state": "TX"
}
],
"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 Oct 5, 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.