OrganizationActive
Modified Barium Swallow Service, P.A.
NPI 1871594697 · Diagnostic Radiology Physician · Tyler, TX
Provider details
- NPI number
- 1871594697
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chad Niles, Medical Director(210) 325-6277
- License
- L0882 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 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
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
3724 Fm 346 E
Tyler, TX 75703-8340
Phone: (210) 325-6277
Fax: (210) 682-5195
Street-level locationGet directions
Mailing address
3724 Fm 346 E
Tyler, TX 75703-8340
Registry dates
- Enumerated
- 2005-08-02
- Last updated
- 2007-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.