East Texas Medical Center Healthcare Associates
NPI 1396773339 · Surgery Physician · Tyler, TX
East Texas Medical Center Healthcare Associates is a Surgery Physician organization in Tyler, TX (NPI 1396773339).
Provider details
- NPI number
- 1396773339
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rebecca Mangum, Vp(903) 596-3594
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- East Texas Medical Center Trauma Services
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2017-04-11
Frequently asked questions
- What is East Texas Medical Center Healthcare Associates's NPI number?
- East Texas Medical Center Healthcare Associates's National Provider Identifier (NPI) is 1396773339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Texas Medical Center Healthcare Associates?
- East Texas Medical Center Healthcare Associates is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is East Texas Medical Center Healthcare Associates located?
- East Texas Medical Center Healthcare Associates's practice location on file with NPPES is 1020 E Idel St, Tyler, TX 75701-2024.
- What is East Texas Medical Center Healthcare Associates's phone number?
- The practice phone number listed in the NPPES registry for East Texas Medical Center Healthcare Associates is (903) 596-3555.
- Who is the authorized official for East Texas Medical Center Healthcare Associates?
- The authorized official listed on East Texas Medical Center Healthcare Associates's NPPES record is Rebecca Mangum, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Texas Medical Center Healthcare Associates's NPI active?
- Yes — East Texas Medical Center Healthcare Associates's NPI (1396773339) is active in the NPPES registry as of the last update on 2017-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.