| Etmc First Physicians | |
|
904 S Beckham Ave Tyler TX 75701-1906 | |
| (903) 596-3555 | |
| (903) 596-3560 |
| Full Name | Etmc First Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 904 S Beckham Ave, Tyler, Texas |
| Authorized Official Name and Position | Kim Pearson-wahl (VICE PRESIDENT) |
| Authorized Official Contact | 9035356890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etmc First Physicians Po Box 9477 Tyler TX 75711-9477 Ph: (903) 594-2450 | Etmc First Physicians 904 S Beckham Ave Tyler TX 75701-1906 Ph: (903) 596-3555 |
| NPI Number | 1174707483 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174707483 | NPI | - | NPPES |
| CC6186 | Other | TX | RAILROAD MEDICARE |
| 00T07K | Other | TX | BLUE CROSS |
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