OrganizationActive
Premier Nephrology of Tyler
NPI 1265721401 · Nephrology Physician · Tyler, TX
Provider details
- NPI number
- 1265721401
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terry Woodard, Medical Doctor(903) 566-2677
- License
- H8527 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1304 Doctors Dr
Tyler, TX 75701-2262
Phone: (903) 566-2677
Fax: (903) 848-9513
Street-level locationGet directions
Mailing address
2702 E 5th St
Tyler, TX 75701-5021
Registry dates
- Enumerated
- 2011-03-28
- Last updated
- 2011-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.