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

Neuro Ir of East Texas

Organization Neuroradiology Physician · NPI 1508376716

Neuro Ir of East Texas is a Neuroradiology Physician in Tyler, Texas. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

700 Olympic Plaza Cir Ste 910
Tyler, TX 75701-1915
Phone: (903) 705-0072
Fax: (903) 705-0068
Show map & directions

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

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X

Record details

NPI number1508376716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Black — Practice Administrator · (903) 705-0072
NPI enumeratedOctober 3, 2017
Last updated in NPPESNovember 4, 2023
Certification dateOctober 24, 2022
Mailing address700 Olympic Plaza Cir Ste 910, Tyler, TX 75701-1915

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