Etmc Surgical First Assistants

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

ETMC SURGICAL FIRST ASSISTANTS

Practice address

1000 S Beckham Ave
Tyler, TX 75701-1908

Phone

(903) 531-8010

NPI assigned

Dec 16, 2013

Last updated

Dec 16, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

EAST TEXAS MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Byron C Hale

Title

SVP/Cfo

Phone

(903) 531-8010

Specialties & licenses 1

Addresses

Part of

Eta Medical Center

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1760803894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6720",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757116720",
            "telephone_number": "903-531-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-531-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETMC SURGICAL FIRST ASSISTANTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST TEXAS MEDICAL CENTER",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "903-531-8010"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etmc EMS
• Etmc First Physicians Clinic
• Etmc Physician Group Inc.
• Etmc Physician Group Inc. (UT Health East Texas Physicians)
• Etmc Physician Group Inc. (UT Health East Texas Physicians)
• Etx Psychiatric Specialists PLLC
• Charles Eubanks, RPH
• Delson E Eubanks
• Jessica Eubanks
• Eugene D. Bennett

• Registered Nurse First Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.