OrganizationActive
Healthport P.A.
NPI 1154577641 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Tyler, TX
Provider details
- NPI number
- 1154577641
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Fults, President(903) 526-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4295 Kinsey Dr
Tyler, TX 75703-1004
Phone: (903) 526-5000
Fax: (903) 526-5006
Street-level locationGet directions
Mailing address
4295 Kinsey Dr
Tyler, TX 75703-1004
Other names (DBA / former)
- Doing business as
- Pain Recovery Center of Tyler
Registry dates
- Enumerated
- 2008-08-15
- Last updated
- 2013-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.