institution
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
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
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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
State
Zip
75703-2356
Phone Number
903-595-3220
Fax Number
903-595-3887
person
Provider Business Mailing Address Details
Address
4801 Troup Hwy
City
State
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
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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