person
Michael Mckelva
Surgical Physician Assistant in Tyler, Texas
NPI 1346771748

Michael Mckelva is a Surgical Physician Assistant based in Irving, TX and is specialized in Surgical. Michael Mckelva practices in Tyler, TX. The NPI Number for Michael Mckelva is 1346771748 and holds a License No. PA11152 (Texas).

The current practice location address for Michael Mckelva is 630 S Fleishel Ave, Tyler, TX and can be reached out via phone at 903-606-5560.

Location: 630 S Fleishel Ave, Tyler, TX, 75061-2221
person
Provider Profile Details
NPI Number
1346771748
Provider Name
Michael Mckelva
Credential
Provider Entity Type
Individual
Gender
Male
Address
630 S Fleishel Ave, Tyler, TX, 75061-2221
Phone Number
903-606-5560
Fax Number
Provider Enumeration Date
03/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370509704 05 TX
institution
Provider Business Practice Location Address Details
Address
630 S Fleishel Ave
City
State
Zip
75701-2041
Phone Number
903-606-5560
Fax Number
person
Provider Business Mailing Address Details
Address
630 S Fleishel Ave
City
State
Zip
75701-2041
Phone Number
903-606-5560
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA11152 (Texas)
Definition
Definition to come...
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