Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376400580 Individual Practitioner Male Practitioner

Javier Enrique Antique , APRN

Nurse Practitioner - Acute Care • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Javier Antique, APRN is a registered healthcare professional specializing in Nurse Practitioner - Acute Care in Tyler, TX. Practice services are available at 1000 S BECKHAM AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 S Beckham Ave

Tyler, TX 757011908

Telephone 9035956680
Fax 9035921934
Associated Practice Facility / Clinic
🏢 Alex Detwiler, M.d., P.a. Facility NPI 1073601118

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
53 Specialists

Practicing in Tyler, TX (3268 Statewide)

Telehealth Adoption Rate
13.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-29
Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License TX 1230949

Definition to come...

Secondary Practice Locations

1020 E Idel St

Tyler, TX 757012024

Phone: 9035352902

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Andrea Cooley , DO

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1003070483

Doctor of Osteopathic Medicine (D.O.)

Dr. Ghulam Abbas , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1003887407

Doctor of Medicine (M.D.)

Dr. William Powell , MD

Internal Medicine - Interventional Cardiology

NPI 1043220643

Doctor of Medicine (M.D.)

Pamela Jackson , CFNP

Nurse Practitioner - Family

NPI 1053419606
Dr. Wendell Phillips , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1164497871

Doctor of Medicine (M.D.)

Dr. Ramachandra Reddy , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1184606626

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 29, 2026

Registered at 1000 S BECKHAM AVE, TYLER, TX 757011908 (Tel: 9035956680)

📍
Updated Business Mailing Address June 29, 2026

Registered at 1000 S BECKHAM AVE, TYLER, TX 757011908 (Tel: 9035956680)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2026

Nurse Practitioner (License #1230949 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2026

Nurse Practitioner (License #11044941 in FL)

NPI Profile Active January 08, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2026

Registered at 400 CELEBATION PLACE, CELEBRATION, FL 34747 (Tel: 4077644370)

📍
Updated Business Mailing Address January 08, 2026

Registered at 1169 WOODS LANDING DR, MINNEOLA, FL 347156067 (Tel: 4074919256)

👤
Provider Name / Credentials Updated January 08, 2026

Recorded as JAVIER ANTIQUE, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2026

Nurse Practitioner (License #9373366 in FL)

🟢
Initial NPI Registration & Enumeration January 08, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Javier Antique. Be the first to share your experience!

Sign in to leave a review for Javier Antique

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376400580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2026
Last Update: June 29, 2026
Sole Proprietor: Yes

Mailing Address

1000 S Beckham Ave

Tyler, TX 757011908

Phone: 9035956680

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.