Alex Detwiler, M.D., P.A. in Tyler - Specialist

Alex Detwiler, M.D., P.A. - NPI 1073601118

Alex Detwiler, M.D., P.A. is a Specialist in Tyler, Texas. Alex Detwiler, M.D., P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Alex Detwiler, M.D., P.A. is 1073601118. The last update date is 2008-02-28.

Alex Detwiler, M.D., P.A.'s current location address is Po Box 132601, Tyler, Texas. You can contact this provider via phone number 9035217838. The mailing address for Alex Detwiler, M.D., P.A. is Po Box 132601, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Alex Detwiler, M.D., P.A.
Address Po Box 132601, Tyler, Texas
Phone Number 9035217838
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Olsson-Detwiler Aleksandra
Credentials M.D.
Telephone Number 9035217838

NPI Number Detail

NPI Number 1073601118
Provider Enumeration Date 2006-10-11
Last Updated Date 2008-02-28

Provider Mailing Address Detail

Address Po Box 132601
City Tyler
State Texas (TX)
Post Code 757132601
Phone Number 9035217838
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No L1685
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0056LZ TX BCBS
DC1535 TX RAILROAD MEDICARE

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FAQs about Alex Detwiler, M.D., P.A.

What is the unique identifier code issued to Alex Detwiler, M.D., P.A. by the Centers for Medicare & Medicaid Services?

The Alex Detwiler, M.D., P.A. has been assigned the NPI (National Provider Identifier) 1073601118. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Alex Detwiler, M.D., P.A. is located?

The Alex Detwiler, M.D., P.A. is situated at the following address: Po Box 132601, Tyler, TX, 757132601.

What is the Alex Detwiler, M.D., P.A.'s area of specialization and corresponding taxonomy classification?

The Alex Detwiler, M.D., P.A.'s specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did Alex Detwiler, M.D., P.A. receive its 1073601118 assignment from the Centers for Medicare & Medicaid Services?

The Alex Detwiler, M.D., P.A. was assigned its 1073601118 on 2006-10-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Alex Detwiler, M.D., P.A.'s details last updated?

The information pertaining to the Alex Detwiler, M.D., P.A., including its address, specialty, and other details, was most recently updated on 2008-02-28.

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