Welcome to Tyler Nephrology Associates, P.A. 


We are delighted to have you visit our website. Our physicians provide quality kidney care for our patients and work with primary care physicians to develop an effective treatment plan that fits each patient’s needs. 

In 1974 Dr. Thomas Lowery formed Tyler Nephrology Associates, PA (TNA) and began providing care of chronic kidney disease and kidney failure for people in East Texas. The first dialysis treatment in East Texas was at East Texas Medical Center; however, the need to provide dialysis treatments led to Dr. James R. Cotton joining the practice in 1978. That same year TNA opened the first outpatient chronic dialysis unit now known as Watson Wise Dialysis. In the early 1980’s other outpatient dialysis centers were opened in Carthage and Pittsburg, Texas. Further expansion and the arrival of additional physicians have led to the establishment of 15 outpatient dialysis centers in East Texas providing for over 700 patients with kidney failure. In 1987 TNA teamed with East Texas Medical Center to open the only kidney transplant program in East Texas. 
In July 2012, Kidney & Hypertension Specialists of Paris was opened in Paris, Texas.  This clinic serves patients throughout Northeast Texas and Southeast Oklahoma. 
With the continual increase of patients developing kidney disease, as of 2013, TNA has grown to 14 physicians and 2 midlevel providers taking care of patients with kidney disease across much of the East Texas and Southeast Oklahoma areas.
Please visit the links on the left to obtain detailed information for each physician and location. 
If you have questions not answered on this website, feel free to call 903/595-5486 during regular business hours or email us at info@tnamd.com


Mission Statement

Our Mission is to provide the highest level of care to patients with kidney related diseases.  We realize this care is a matter of life and commit to exceed the expectations of our patients.  It is our goal to be the preferred provider for all renal-related care in the East Texas and surrounding area.