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Mackenzie Intlehouse is one of 211 physician assistants practicing in Tyler, Texas .
Mackenzie Intlehouse practices with Etmc Physician Group, Inc.
Registry record (NPPES)
NPI
1881100808
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Surgical · 363AS0400X
Address on file
700 Olympic Plaza Cir Ste 600 Tyler, TX 75701-1954 (903) 596-3488
Enumerated
Dec 28, 2017
Record last updated
Apr 4, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
700 Olympic Plaza Cir Suite 600
Tyler , TX 75701
(903) 596-3844
More physician assistants in Tyler
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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