EDWARD LEE POE (NPI# 1437581055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437581055 |
| Entity Type | Individual |
| Full Name | EDWARD LEE POE |
| Credential | LPC |
| Practice Address |
2737 S Broadway Ave Suite 206 Tyler TX 75701-5413 |
| Practice Telephone | 9035331817 |
| Practice Fax Number | 9035933385 |
| Mailing Telephone | 9035331817 |
| Mailing Fax Number | 9035933385 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
62137 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2737 S BROADWAY AVE SUITE 206 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-5413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071527 | Mark A Hackbarth | Anesthesiology | 2737 S Broadway Ave, Tyler, TX 75701 | 2005-05-24 |
| 1194216994 | Leslie Karen Partlow | Nurse Practitioner | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2018-05-29 |
| 1134633266 | Wendy Prewett | Nurse Practitioner | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2017-11-28 |
| 1871044115 | Travis Squyres | Nurse Practitioner | 2737 S Broadway Ave, Tyler, TX 75701 | 2016-10-21 |
| 1881076891 | Preston Harmon | Emergency Medicine | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2015-06-25 |
| 1427447580 | Ruben Benjamin Delarosa | Physician Assistant | 2737 S Broadway Ave, Tyler, TX 75701 | 2015-01-13 |
| 1346670726 | Charles R Gordon Md Pa | Pharmacy | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2013-11-20 |
| 1265670749 | Ellisiv Lien | Physical Medicine & Rehabilitation | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2009-01-22 |
| 1023276466 | James Alan Muns | Neurological Surgery | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2008-05-31 |
| 1831373042 | Andy Juney Redmond | Neurological Surgery | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2007-12-24 |
| Find all providers in the same location | ||||
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622164 | Tere Pamela Ortega | Counselor | 701 Shiloh Rd Apt 717, Tyler, TX 75703-3838 | 2020-09-05 |
| 1669083937 | Arturo Vega II | Counselor | 5000 Edinburgh Dr Apt 904, Tyler, TX 75703-2713 | 2020-08-11 |
| 1063020675 | Tyler Family Counseling, Pllc | Counselor | 16075 Fm 2493, Tyler, TX 75703-7363 | 2020-07-20 |
| 1144838707 | Ceselie Ann Tobin | Counselor | 121 S Broadway Ave Ste 820, Tyler, TX 75702-7282 | 2020-07-20 |
| 1124636824 | Austyn Teal Bailiff | Counselor | 1058 Asher Way Ste 400, Tyler, TX 75703-6076 | 2020-07-19 |
| 1881237899 | Ida F Baty | Counselor | 3367 Cascades Blvd Apt 119, Tyler, TX 75709-5447 | 2019-10-22 |
| 1073077673 | Hobert Stanley Miller | Counselor | 15360 Fm 850, Tyler, TX 75707-3916 | 2019-01-28 |
| 1922594308 | Grace Counceling Center | Counselor | 1828 E Se Loop 323 Ste Ll14, Tyler, TX 75701-8398 | 2018-07-09 |
| 1578072971 | Julie Kathryn David | Counselor | 17121 Us Highway 69 S, Tyler, TX 75703-8091 | 2017-09-28 |
| 1619411204 | Marla Cannefax | Counselor | 121 S Broadway Ave Ste 528, Tyler, TX 75702-7209 | 2016-12-15 |
| Find all providers in TYLER | ||||
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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.