TYLER CARDIAC & ENDOVASCULAR SURGERY CENTER – NPI #1063819860
Clinic/Center

TYLER CARDIAC & ENDOVASCULAR SURGERY CENTER is an AHC clinic located in TYLER, TX. NPPES has assigned the NPI number 1063819860 to TYLER CARDIAC & ENDOVASCULAR SURGERY CENTER on November 24, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TYLER CARDIAC & ENDOVASCULAR SURGERY CENTER” is a dba name, the actual legal business name for this organization is TYLER ASC, LP. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Aug 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TYLER CARDIAC & ENDOVASCULAR SURGERY CENTER below.

NPI Profile for
TYLER ASC, LP

NPI Number
1063819860
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TYLER ASC, LP
Doing Business As (dba): TYLER CARDIAC & ENDOVASCULAR SURGERY CENTER
Primary location
1767 TROUP HWY
TYLER, TX 75701
Phone: (903) 535-4000 Fax:
Mailing address
DEPT# 6008, PO BOX 4417
HOUSTON, TX 77210-4417
Phone: (610) 644-8900 Fax: (484) 924-0053
Organization Subpart
No
Authorized Official
GREGG MILLER
AUTHORIZED OFFICIAL
Phone: (610) 644-8900
Updated
Certification Date
Aug 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.