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Max T Tijerino, PA-C
Physician Assistant in Tyler, Texas
NPI 1649721366

Max T Tijerino is a Physician Assistant based in Dallas, TX. Max T Tijerino practices in Tyler, TX and has the professional credentials of PA-C. The NPI Number for Max T Tijerino is 1649721366 and holds a License No. (Texas).

The current practice location address for Max T Tijerino is 703 S Fleishel Ave, Tyler, TX and can be reached out via phone at 903-525-2992 and via fax at 903-525-2685.

Location: 703 S Fleishel Ave, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649721366
Provider Name
Max T Tijerino
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
703 S Fleishel Ave, Tyler, TX, 75284-6098
Phone Number
903-525-2992
Fax Number
903-525-2685
Provider Enumeration Date
10/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75-2616977-039 01 TX TRICARE
75-2616977-123 01 TX TRICARE
88117MA 01 TX BCBS
365425301 05 TX
P01762498 01 TX RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
703 S Fleishel Ave
City
Tyler
State
Texas
Zip
75701-2015
Phone Number
903-525-2992
Fax Number
903-525-2685
person
Provider Business Mailing Address Details
Address
703 S Fleishel Ave
City
Tyler
State
Texas
Zip
75701-2015
Phone Number
903-525-2992
Fax Number
903-525-2685
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA10936 (Texas)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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.
(Alabama)
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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