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Nancy Luethy, PA-C
Medical Physician Assistant in Tyler, Texas
NPI 1336118629

Nancy Luethy is a Medical Physician Assistant based in Dallas, TX and is specialized in Medical. Nancy Luethy practices in Tyler, TX and has the professional credentials of PA-C. The NPI Number for Nancy Luethy is 1336118629 and holds a License No. 5601004191 (Texas).

The current practice location address for Nancy Luethy is 800 E Dawson St, Tyler, TX and can be reached out via phone at 903-606-5400.

Location: 800 E Dawson St, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336118629
Provider Name
Nancy Luethy
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
800 E Dawson St, Tyler, TX, 75284-6098
Phone Number
903-606-5400
Fax Number
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8LD264 01 TX BCBS
399520101 05 TX
institution
Provider Business Practice Location Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701
Phone Number
903-606-5400
Fax Number
person
Provider Business Mailing Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701
Phone Number
903-606-5400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
5601004191 (Michigan)
Definition
Definition to come...
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