Active NPI
Arthritis and Osteoporosis Clinic of East Texas
- Rheumatology Physician
- Tyler, TX
National Provider Identifier
1881690287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- G1283
- Legal business name
- ARTHRITIS AND OSTEOPOROSIS CLINIC OF EAST TEXAS
- Practice address
- 1212 Clinic Dr
Tyler, TX 75701-2117 - Phone
- (903) 596-8858
- Fax
- (903) 535-9138
- NPI assigned
- Jun 22, 2005
- 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
- Bebe J Foster
- Title
- Billing Manager
- Phone
- (903) 596-8858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | G1283 | TX | Primary |
Addresses
Primary practice location
1212 Clinic Dr
Tyler, TX 75701-2117
Mailing address
1212 Clinic Dr
Tyler, TX 75701-2117
Phone (903) 596-8858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770586703 | Other | TX | NPI, PHYSICIAN |
| 080077302 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Longview, TX
- NPI 1457370298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260316800000",
"number": "1881690287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 CLINIC DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012117",
"telephone_number": "903-596-8858",
"fax_number": "903-535-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 CLINIC DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012117",
"telephone_number": "903-596-8858",
"fax_number": "903-535-9138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTHRITIS AND OSTEOPOROSIS CLINIC OF EAST TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2009-12-09",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "BEBE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "903-596-8858"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "G1283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI, PHYSICIAN",
"identifier": "1770586703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080077302",
"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 Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.