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

Etmc Physician Group Inc

Organization Cardiovascular Disease Physician · NPI 1609382662

Etmc Physician Group Inc is a Cardiovascular Disease Physician in Tyler, Texas. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 590-5611
Fax: (903) 535-6884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1609382662
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAhs East Texas Health System, LLC
Authorized official Stephen Petrovich — Evp And Secretary · (615) 296-3000
NPI enumeratedDecember 28, 2017
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020
Mailing addressPo Box 9477, Tyler, TX 75711-9477

Other providers in Tyler