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Michelle Phi Medel, MD
Student in an Organized Health Care Education/Training Program in Tyler, Texas
NPI 1447517016

Michelle Phi Medel is a Student in an Organized Health Care Education/Training Program based in Tyler, TX. Michelle Phi Medel practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Michelle Phi Medel is 1447517016 and holds a License No. Q6234 (Texas).

The current practice location address for Michelle Phi Medel is 700 Olympic Plaza Cir, Tyler, TX and can be reached out via phone at 903-593-2468 and via fax at 905-592-5692.

Location: 700 Olympic Plaza Cir, Tyler, TX, 75701-1951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447517016
Provider Name
Michelle Phi Medel
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
700 Olympic Plaza Cir, Tyler, TX, 75701-1951
Phone Number
903-593-2468
Fax Number
905-592-5692
Provider Enumeration Date
04/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447517016 01 TX NPI
institution
Provider Business Practice Location Address Details
Address
700 Olympic Plaza Cir
City
Tyler
State
Texas
Zip
75701-1951
Phone Number
903-593-2468
Fax Number
905-592-5692
person
Provider Business Mailing Address Details
Address
700 Olympic Plaza Cir
City
Tyler
State
Texas
Zip
75701-1951
Phone Number
903-593-2468
Fax Number
905-592-5692
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
()
Definition
Definition to come...
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.
Q6234 (Texas)
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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