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East Texas Medical Center Healthcare Associates

Family Medicine Physician in Tyler, TX · enumerated 2006 · authorized official Rebecca Mangum, Vp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124062484

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Registry record

Entity type Organization (Type 2)
Legal business name East Texas Medical Center Healthcare Associates
Other name <Unavail>
Practice address 901 Turtle Creek Dr, Tyler, TX, 75701
Phone (903) 596-3555
Fax (903) 596-3560
Enumeration date Jun 16, 2006
Last updated in NPPES Apr 11, 2017

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License 4278 (TX) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Rebecca Mangum
Title Vp
Phone (903) 596-3594

Other identifiers

Identifier Type State Issuer
130864507 Medicaid TX -
00T07K Other TX BLUE CROSS
130864502 Medicaid TX -
CC7791 Other TX RAILROAD MEDICARE
CD9882 Other TX RAILROAD MEDICARE
4944030003 Other TX PALMETTO DME
CC6186 Other TX RAILROAD MEDICARE
085332701 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is East Texas Medical Center Healthcare Associates?
East Texas Medical Center Healthcare Associates is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-11.