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 |
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Authorized Official Name | Olsson-Detwiler Aleksandra |
Credentials | M.D. |
Telephone Number | 9035217838 |
NPI Number Detail
NPI Number | 1073601118 |
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Provider Enumeration Date | 2006-10-11 |
Last Updated Date | 2008-02-28 |
Provider Mailing Address Detail
Address | Po Box 132601 |
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City | Tyler |
State | Texas (TX) |
Post Code | 757132601 |
Phone Number | 9035217838 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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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 |
Post Comment/ Review Below
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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