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

East Texas Spine Institute, PA

Organization Physical Medicine & Rehabilitation Physician · NPI 1992985394

East Texas Spine Institute, PA is a Physical Medicine & Rehabilitation Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3110 Park Center Dr
Tyler, TX 75701-9215
Phone: (903) 593-9999
Fax: (903) 526-4239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence K1283 (TX)

Record details

NPI number1992985394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ritesh Prasad — Owner · (903) 593-9999
NPI enumeratedNovember 14, 2007
Last updated in NPPESJune 11, 2012
Mailing addressPo Box 130940, Tyler, TX 75713-0940

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