OrganizationActive

Azalea Orthopedic & Sports Medicine Clinic PA

NPI 1699765107 · Orthopaedic Surgery Physician · Tyler, TX

Provider details

NPI number: 1699765107
Entity type: Organization
Primary specialty: Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Heidi Ebert, Billing Supervisor(903) 939-7774
License: 0863040001 (TX)

Specialties & taxonomies

Orthopaedic Surgery PhysicianPrimary207X00000X
Allopathic & Osteopathic Physicians
Durable Medical Equipment & Medical Supplies332B00000XLicense 0863040001 (TX)
Suppliers

Profile Score

Detailed profile(100/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
10 documented practice locations

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

3414 Golden Road

Tyler, TX 75701

Phone: (903) 939-7500

Fax: (903) 939-7728

Street-level locationGet directions

More TX providers

Mailing address

Po Box 610307

Dallas, TX 75261-0307

Additional practice locations (9)

6444 State Highway 19 S
Athens, TX 75751-8968
Phone: (903) 939-7501
203 Nacogdoches St Ste 350
Jacksonville, TX 75766-2454
Phone: (903) 939-7536
725 N 4th St
Longview, TX 75601-5412
Phone: (903) 939-7501
305 W 20th St
Mount Pleasant, TX 75455-2327
Phone: (903) 577-5661
4800 Ne Stallings Dr Ste 110
Nacogdoches, TX 75965-1250
Phone: (903) 939-7500
2211 S Loop 256
Palestine, TX 75801-4701
Phone: (903) 939-7500
2701 US Highway 271 N
Pittsburg, TX 75686-4289
Phone: (903) 946-5442
8101 S Broadway Ave
Tyler, TX 75703-5469
Phone: (903) 939-7501
1814 Roseland Blvd Ste 100
Tyler, TX 75701-4262
Phone: (903) 525-3300

Enumerated: 2005-10-26
Last updated: 2019-01-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.