East Texas Medical Center Healthcare Associates
NPI 1174707483ActiveOrganization· Family Medicine· Tyler, TX
Family Medicine in Tyler, Texas, registered in NPPES in December 2007. The authorized official on file is Kim Pearson-Wahl, Vice President.
Overview
| NPI | 1174707483 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2007 |
| Last updated in NPPES | Dec 21, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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