East Texas Vascular Associates, P.A.
NPI 1750383386ActiveOrganization· Surgery· Tyler, TX
Surgery in Tyler, Texas, registered in NPPES in August 2005. The authorized official on file is Pam Harris, Practice Administrator.
Overview
| NPI | 1750383386 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2005 |
| Last updated in NPPES | Aug 5, 2020 |
| Certified by provider | Aug 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | D4981 | TX |
| Surgery | 208600000X | K0862 | TX |
| Surgery | 208600000X | H4385 | TX |
| Surgery | 208600000X | L1987 | TX |
| Surgery, Vascular Surgery | 2086S0129X | D4981 | TX |
| Surgery, Vascular Surgery | 2086S0129X | K0862 | TX |
| Surgery, Vascular Surgery | 2086S0129X | H4385 | TX |
| Surgery, Vascular Surgery | 2086S0129X | L1987 | TX |
| Colon & Rectal Surgery | 208C00000X | H4385 | TX |
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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