Tyler Kidney Doctors Pa

NPI 1023198637 - Internal Medicine - 207RN0300X

NPI Details
NPI 1023198637
Enumeration Date 10/17/2006
Last Updated 03/11/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT C ROBERT
Position PHYSICIAN
Phone (903) 594-2293
Fax (903) 848-9513
Practice Location
700 OLYMPIC PLAZA CIR
912
TYLER TX, 75701-1951, US
Phone (903) 594-2293
Fax (903) 848-9513
Business Location
PO BOX 132506
TYLER TX, 75713-2506, US
Phone (903) 594-2293
Fax (903) 566-0167
Toxanomy
Taxonomy Code 207RN0300X
License State Texas
License Number J8518
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According to our database, Tyler Kidney Doctors Pa NPI is 1023198637, taxonomy code is 207RN0300X and license number is J8518, license state is located at Texas. Tyler Kidney Doctors Pa physically located at 700 Olympic Plaza Cir, Tyler TX, 75701-1951. NPI Number 1033115704 has the healthcare provider type.

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1023198637 NPI number is provided on an as is basis without warranty of any kind. 1023198637 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Kidney Doctors Pa are for informational purposes only.