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Dr. Preston Wayne Shumway, DO
Emergency Medicine Physician in Tyler, Texas
NPI 1134355233

Preston Wayne Shumway is a Emergency Medicine Physician based in Dallas, TX. Preston Wayne Shumway practices in Tyler, TX and has the professional credentials of DO. The NPI Number for Preston Wayne Shumway is 1134355233 and holds a License No. 5101018171 (Texas).

The current practice location address for Preston Wayne Shumway is 800 E Dawson St, Tyler, TX and can be reached out via phone at 903-531-5000.

Location: 800 E Dawson St, Tyler, TX, 75284-1656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134355233
Provider Name
Preston Wayne Shumway
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
800 E Dawson St, Tyler, TX, 75284-1656
Phone Number
903-531-5000
Fax Number
Provider Enumeration Date
06/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
750818167015 01 TX TRICARE
304874601 05 TX
75-2616977-028 01 TX TRICARE
750818167048 01 TX TRICARE
8DU721 01 TX BCBS
8X8166 01 TX BCBS
P01081613 01 TX RAIL ROAD
304874603 05 TX
750818167022 01 TX TRICARE
751976930022 01 TX TRICARE
P01081147 01 TX RAIL ROAD
750818167044 01 TX TRICARE
75-2616977-001 01 TX TRICARE
75-2616977-002 01 TX TRICARE
P01304487 01 TX RAIL ROAD
304874602 05 TX
304874604 05 TX
751976930005 01 TX TRICARE
8DD750 01 TX BCBS
8DD753 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-531-5000
Fax Number
person
Provider Business Mailing Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-531-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
5101018171 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5101018171 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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