Healthcare Provider Details

I. General information

NPI: 1588550529
Provider Name (Legal Business Name): TOTAL POINT ER TYLER BROADWAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6718 S BROADWAY AVE
TYLER TX
75703-4730
US

IV. Provider business mailing address

1601 ELM ST STE 4210
DALLAS TX
75201-7282
US

V. Phone/Fax

Practice location:
  • Phone: 469-607-8448
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFF LOVE
Title or Position: MANAGER
Credential:
Phone: 469-607-8448