Steve Wayne Lebo in Tyler - General Practice
Steve Wayne Lebo - NPI 1902910920
Steve Wayne Lebo is a General Practice in Tyler, Texas. Steve Wayne Lebo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Steve Wayne Lebo is 1902910920. The last update date is 2009-05-27.
Steve Wayne Lebo's current location address is 212 Old Grande Blvd., Tyler, Texas. You can contact this provider via phone number 9035090505. The mailing address for Steve Wayne Lebo is 212 Old Grande Blvd., Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steve Wayne Lebo |
|---|---|
| Address | 212 Old Grande Blvd., Tyler, Texas |
| Phone Number | 9035090505 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D,D.S. |
NPI Number Detail
| NPI Number | 1902910920 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2009-05-27 |
Provider Mailing Address Detail
| Address | 212 Old Grande Blvd. |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75703 |
| Phone Number | 9035090505 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12586 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7885903 | TX | -- |
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What is the unique 10-digit identifier code issued to Steve Wayne Lebo by the Centers for Medicare & Medicaid Services?
The Steve Wayne Lebo has been assigned the NPI (National Provider Identifier) 1902910920 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Steve Wayne Lebo?
The Steve Wayne Lebo is physically situated at 212 Old Grande Blvd., in the city of Tyler, state of TX, with the postal code 75703.
What is Steve Wayne Lebo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Steve Wayne Lebo is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902910920 to Steve Wayne Lebo?
The Centers for Medicare & Medicaid Services assigned the 1902910920 to Steve Wayne Lebo on 2006-08-18.
As of what date were the details pertaining to Steve Wayne Lebo last refreshed?
The information related to the Steve Wayne Lebo, including its address, specialty, and other relevant details, was last updated on 2009-05-27.