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Alex Detwiler, M.d., P.a.
Specialist in Tyler, Texas
NPI 1073601118

Alex Detwiler, M.d., P.a. is a Specialist based in Tyler, TX. Alex Detwiler, M.d., P.a. practices in Tyler, TX. The NPI Number for Alex Detwiler, M.d., P.a. is 1073601118 and holds a License No. L1685 (Texas).

The current practice location address for Alex Detwiler, M.d., P.a. is 1000 S Beckham Ave, Tyler, TX and can be reached out via phone at 903-521-7838.

Location: 1000 S Beckham Ave, Tyler, TX, 75713-2601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073601118
Provider Name
Alex Detwiler, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
1000 S Beckham Ave, Tyler, TX, 75713-2601
Phone Number
903-521-7838
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0056LZ 01 TX BCBS
DC1535 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1000 S Beckham Ave
City
Tyler
State
Texas
Zip
75701-1908
Phone Number
903-521-7838
Fax Number
person
Provider Business Mailing Address Details
Address
1000 S Beckham Ave
City
Tyler
State
Texas
Zip
75701-1908
Phone Number
903-521-7838
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L1685 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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