Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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East Texas Omfs Trauma Consultants, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1447886619

East Texas Omfs Trauma Consultants, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Tyler, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2550 Elkton Trl
Tyler, TX 75703-0594
Phone: (903) 534-1414
Fax: (903) 534-1415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1447886619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Lasseter — Financial Coordinator · (903) 534-1414
NPI enumeratedMarch 19, 2020
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020
Mailing address2550 Elkton Trl, Tyler, TX 75703-0594

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