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Tyler Office Of Pediatrics P A
Specialist in Tyler, Texas
NPI 1851574032

Tyler Office Of Pediatrics P A is a Specialist based in Tyler, TX. Tyler Office Of Pediatrics P A practices in Tyler, TX. The NPI Number for Tyler Office Of Pediatrics P A is 1851574032 and holds a License No. J4527 (Texas).

The current practice location address for Tyler Office Of Pediatrics P A is 4801 Troup Hwy, Tyler, TX and can be reached out via phone at 903-595-3220 and via fax at 903-595-3887.

Location: 4801 Troup Hwy, Tyler, TX, 75713-1866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851574032
Provider Name
Tyler Office Of Pediatrics P A
Credential
Provider Entity Type
Organization
Address
4801 Troup Hwy, Tyler, TX, 75713-1866
Phone Number
903-595-3220
Fax Number
903-595-3887
Provider Enumeration Date
12/11/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
118586004 05 TX
043902803 05 TX
institution
Provider Business Practice Location Address Details
Address
4801 Troup Hwy
City
Tyler
State
Texas
Zip
75703-2356
Phone Number
903-595-3220
Fax Number
903-595-3887
person
Provider Business Mailing Address Details
Address
4801 Troup Hwy
City
Tyler
State
Texas
Zip
75703-2356
Phone Number
903-595-3220
Fax Number
903-595-3887
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J4527 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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