Bradley Owen King in Tyler - Emergency Medicine

Bradley Owen King - NPI 1639118367

Bradley Owen King is a Emergency Medicine in Tyler, Texas. Bradley Owen King practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Bradley Owen King is 1639118367. The last update date is 2014-07-09.

Bradley Owen King's current location address is 1000 S Beckham Ave, Tyler, Texas. You can contact this provider via phone number 9035970351 and fax number 9035259301. The mailing address for Bradley Owen King is 1000 S Beckham Ave, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Owen King
Address 1000 S Beckham Ave, Tyler, Texas
Phone Number 9035970351
Fax Number 9035259301
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1639118367
Provider Enumeration Date 2006-06-06
Last Updated Date 2014-07-09

Provider Mailing Address Detail

Address 1000 S Beckham Ave
City Tyler
State Texas (TX)
Post Code 757011908
Phone Number 9035970351
Fax Number 9035259301

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No L0336
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0372286-04 TX --
930120767 TX RAILROAD MEDICARE
8F6462 TX BLUE CROSS

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FAQs about Bradley Owen King

What is the unique 10-digit identifier code issued to Bradley Owen King by the Centers for Medicare & Medicaid Services?

The Bradley Owen King has been assigned the NPI (National Provider Identifier) 1639118367 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 Bradley Owen King?

The Bradley Owen King is physically situated at 1000 S Beckham Ave, in the city of Tyler, state of TX, with the postal code 757011908.

What is the Bradley Owen King's area of specialization and corresponding taxonomy classification?

The Bradley Owen King's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1639118367 assigned to Bradley Owen King?

The Bradley Owen King was issued its 1639118367 on 2006-06-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Bradley Owen King, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bradley Owen King, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-09.

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