TYLER ENDOSCOPY CENTER, LTD – NPI #1740293034
Clinic/Center

TYLER ENDOSCOPY CENTER, LTD is an AHC clinic located in TYLER, TX. NPPES has assigned the NPI number 1740293034 to TYLER ENDOSCOPY CENTER, LTD on August 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 16 years ago on Jun 30, 2010. 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 ENDOSCOPY CENTER, LTD below.

NPI Profile for
TYLER ENDOSCOPY CENTER, LTD

NPI Number
1740293034
Enumeration Date

(about 20 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 ENDOSCOPY CENTER, LTD
Primary location
1722 SOUTH BECKHAM AVE
TYLER, TX 75701
Phone: (903) 595-5101 Fax: (903) 597-2314
Mailing address
1720 S BECKHAM AVE
TYLER, TX 75701-4464
Phone: (903) 595-5101 Fax: (903) 597-2314
Organization Subpart
No
Authorized Official
DAVID NORRIS
ADMINISTRATOR
Phone: (903) 595-5101
Updated
Identifiers

Identifiers for TYLER ENDOSCOPY CENTER, LTD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX173486501
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)
TX 008143

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.