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

East Texas Vascular Associates, PA

Organization Surgery Physician · NPI 1750383386

East Texas Vascular Associates, PA is a Surgery Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
Specialties on file
9
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

700 Olympic Plaza Cir Ste 510
Tyler, TX 75701-1952
Phone: (903) 595-2636
Fax: (903) 595-5560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence D4981 (TX)
Surgery Physician Taxonomy 208600000X · Licence K0862 (TX)
Surgery Physician Taxonomy 208600000X · Licence H4385 (TX)
Surgery Physician Taxonomy 208600000X · Licence L1987 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence D4981 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence K0862 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence H4385 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence L1987 (TX)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence H4385 (TX)

Record details

NPI number1750383386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pam Harris — Practice Administrator · (903) 595-2636
NPI enumeratedAugust 12, 2005
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address700 Olympic Plaza Cir Ste 510, Tyler, TX 75701-1952

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