Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

East Texas Vascular Associates, P.A.

Surgery Physician in Tyler, TX · enumerated 2005 · authorized official Pam Harris, Practice Administrator.

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

National Provider Identifier

1750383386

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Registry record

Entity type Organization (Type 2)

Legal business name East Texas Vascular Associates, P.A.

Practice address 700 Olympic Plaza Cir Ste 510, Tyler, TX, 75701

Phone (903) 595-2636

Fax (903) 595-5560

Enumeration date Aug 12, 2005

Last updated in NPPES Aug 5, 2020

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License D4981 (TX) Primary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License K0862 (TX) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License H4385 (TX) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License L1987 (TX) Secondary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License D4981 (TX) Secondary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License K0862 (TX) Secondary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License H4385 (TX) Secondary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License L1987 (TX) Secondary

208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians · License H4385 (TX) Secondary

Authorized official

Name Pam Harris

Title Practice Administrator

Phone (903) 595-2636

Other identifiers

Identifier	Type	State	Issuer
085672601	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

Where is East Texas Vascular Associates, P.A. located?

The practice location on file with NPPES is in Tyler, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-05. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-05.