University Of Texas Health Science Center At Tyler-facility-physician

NPI 1063400778 - General Practice - 208D00000X

NPI Details
NPI 1063400778
Enumeration Date 10/07/2005
Last Updated 07/08/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name VERNON VERNON
Position VP FOR FINANCE AND ADMINISTRATION
Phone (903) 877-3451
Fax
Practice Location
11937 US HIGHWAY 271
TYLER TX, 75708-3154, US
Phone (903) 877-3451
Fax
Business Location
PO BOX 731912
DALLAS TX, 75373-1912, US
Phone (903) 877-7777
Fax
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, University Of Texas Health Science Center At Tyler-facility-physician NPI is 1063400778, taxonomy code is 208D00000X University Of Texas Health Science Center At Tyler-facility-physician physically located at 11937 Us Highway 271, Tyler TX, 75708-3154. NPI Number 1033115704 has the healthcare provider type.

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1063400778 NPI number is provided on an as is basis without warranty of any kind. 1063400778 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Texas Health Science Center At Tyler-facility-physician are for informational purposes only.