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East Texas Spine Institute, PA

NPI 1992985394ActiveOrganization· Physical Medicine & Rehabilitation· Tyler, TX

Physical Medicine & Rehabilitation in Tyler, Texas, registered in NPPES in November 2007. The authorized official on file is Ritesh R. Prasad, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1992985394
StatusActive
Entity typeOrganization
NPI issuedNov 14, 2007
Last updated in NPPESJun 11, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physical Medicine & Rehabilitation Primary208100000XK1283TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

Other Physical Medicine & Rehabilitation providers in Tyler

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