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

Premier Nephrology of Tyler

Organization Nephrology Physician · NPI 1265721401

Premier Nephrology of Tyler is a Nephrology Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011

Practice location Address checks out

1304 Doctors Dr
Tyler, TX 75701-2262
Phone: (903) 566-2677
Fax: (903) 848-9513
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence H8527 (TX)

Record details

NPI number1265721401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Woodard — Medical Doctor · (903) 566-2677
NPI enumeratedMarch 28, 2011
Last updated in NPPESMay 19, 2011
Mailing address2702 E 5th St, 339, Tyler, TX 75701-5021

Other providers in Tyler