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Azalea Orthopedic & Sports Medicine Clinic PA

Orthopaedic Surgery Physician in Tyler, TX · enumerated 2005 · authorized official Heidi Ebert, Billing Supervisor.

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

National Provider Identifier

1699765107

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Registry record

Entity type Organization (Type 2)
Legal business name Azalea Orthopedic & Sports Medicine Clinic PA
Practice address 3414 Golden Road, Tyler, TX, 75701
Phone (903) 939-7500
Fax (903) 939-7728
Enumeration date Oct 26, 2005
Last updated in NPPES Jan 28, 2019

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 0863040001 (TX) Secondary

Authorized official

Name Heidi Ebert
Title Billing Supervisor
Phone (903) 939-7774

Other identifiers

Identifier Type State Issuer
084034001 Medicaid TX -
084034002 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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-01-28. Verify at npiregistry.cms.hhs.gov.
Where is Azalea Orthopedic & Sports Medicine Clinic PA located?
The practice location on file with NPPES is in Tyler, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-28.