Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Texas Medical Center Healthcare Associates

Organization Surgery Physician · NPI 1396773339

East Texas Medical Center Healthcare Associates is a Surgery Physician in Tyler, Texas. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1020 E Idel St
Tyler, TX 75701-2024
Phone: (903) 596-3555
Fax: (903) 596-3560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1396773339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Mangum — Vp · (903) 596-3594
Other names East Texas Medical Center Trauma Services
NPI enumeratedJune 29, 2006
Last updated in NPPESApril 11, 2017
Mailing addressPo Box 131027, Tyler, TX 75713-1027

Other providers in Tyler