Tyler Hematology Oncology, P.a.

NPI 1023011491 - Specialist - 174400000X

NPI Details
NPI 1023011491
Enumeration Date 05/31/2005
Last Updated 09/25/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name FRED FRED
Position ADMINISTRATOR
Phone (903) 592-6152
Fax (903) 526-0629
Practice Location
721 CLINIC DR
STE A
TYLER TX, 75701-2043, US
Phone (903) 592-6152
Fax (903) 526-0629
Business Location
721 CLINIC DR
STE A
TYLER TX, 75701-2043, US
Phone (903) 592-6152
Fax (903) 526-0629
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number K0723
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According to our database, Tyler Hematology Oncology, P.a. NPI is 1023011491, taxonomy code is 174400000X and license number is K0723, license state is located at Texas. Tyler Hematology Oncology, P.a. physically located at 721 Clinic Dr, Tyler TX, 75701-2043. NPI Number 1033115704 has the healthcare provider type.

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1023011491 NPI number is provided on an as is basis without warranty of any kind. 1023011491 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Hematology Oncology, P.a. are for informational purposes only.