institution
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. You can also correspond with Alex Detwiler, M.d., P.a. through the mailing address at PO BOX 132601, TYLER, TX - 75713-2601 (mailing address contact number: 903-521-7838).

Location: 1000 S Beckham Ave, Tyler, TX, 75713-2601
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
State
Zip
75701-1908
Phone Number
903-521-7838
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 132601
City
State
Zip
75713-2601
Phone Number
903-521-7838
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
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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