EXCEPTIONAL HEALTHCARE TYLER LLC (NPI# 1770118879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770118879 |
Entity Type | Organization |
Organization Name | EXCEPTIONAL HEALTHCARE TYLER LLC |
Practice Address |
2222 E Southeast Loop 323 Tyler TX 75701-8320 |
Mailing Address |
1100 S Akard St Dallas TX 75215-1003 |
Practice Telephone | 4693417800 |
Mailing Telephone | 4693417800 |
Enumeration Date | 2020-03-09 |
Last Update Date | 2020-07-22 |
Authorized Official Name | SAEED S MAHBOUBI (CFO) |
Authorized Official Telephone | 4693417800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
Street Address |
2222 E SOUTHEAST LOOP 323 |
City | TYLER |
State | TX |
Zip Code | 75701-8320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528693629 | Exceptional Physicians Group Tyler Pllc | Emergency Medicine | 2222 E Southeast Loop 323, Tyler, TX 75701-8320 | 2020-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
Find all providers in zip 75701 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619321742 | Tyler Er Operations, LLC | Clinic/Center | 3943 Old Jacksonville Hwy, Tyler, TX 75701 | 2016-04-14 |
1215325642 | Piney Woods Er LLC | Clinic/Center | 6718 S Broadway Ave, Tyler, TX 75703-4730 | 2015-01-08 |
1205388675 | Complete Emergency Care Momentum LLC | Clinic/Center | 5011 Troup Hwy, 100, Tyler, TX 75707-2562 | 2016-11-01 |
1760836068 | Tyler Er Operations, LLC | Clinic/Center | 3943 Old Jacksonville Hwy, Tyler, TX 75701-8519 | 2016-04-22 |
1124486857 | Complete Emergency Care Tyler LLC | Clinic/Center | 1809 Capital Dr, Tyler, TX 75701-8438 | 2016-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568079564 | Montrose Er LLC | Clinic/Center | 1110 W Gray St Ste 201, Houston, TX 77019-4133 | 2020-09-24 |
1609481712 | Montrose Er LLC | Clinic/Center | 1110 W Gray St, Houston, TX 77019-4133 | 2020-09-15 |
1932713666 | Tecc Atascocita LLC | Clinic/Center | 19143 W Lake Houston Pkwy, Humble, TX 77346-4800 | 2020-09-01 |
1265046908 | Tecc Pearland LLC | Clinic/Center | 3115 Dixie Farm Rd Ste 107, Pearland, TX 77581-5923 | 2020-09-01 |
1366056194 | Er of Texas Little Elm LLC | Clinic/Center | 2800 Little Elm Pkwy, Little Elm, TX 75068-6650 | 2020-08-31 |
1740892801 | Satx Emergency Physicians Pllc | Clinic/Center | 8721 Menchaca Rd, Austin, TX 78748-5308 | 2020-08-20 |
1568098119 | Complete Temple Fser Facility LLC | Clinic/Center | 1551 W Central Ave, Temple, TX 76504-4005 | 2020-03-16 |
1841838901 | Cross Care of North Texas LLC | Clinic/Center | 2401 Willow Oak Dr, Irving, TX 75060-6965 | 2019-12-19 |
1255978722 | Medco Er Carrollton, LLC | Clinic/Center | 2745 E Belt Line Rd, Carrollton, TX 75006-5436 | 2019-12-04 |
1649811787 | Cibolo Emergency Physicians, Pllc | Clinic/Center | 580 Cibolo Valley Dr Ste 137, Cibolo, TX 78108-3834 | 2019-09-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.