Rodney Kent Van Andel in Tyler - Sports Medicine
Rodney Kent Van Andel - NPI 1154326544
Rodney Kent Van Andel is a Sports Medicine in Tyler, Texas. Rodney Kent Van Andel practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Rodney Kent Van Andel is 1154326544. The last update date is 2014-05-14.
Rodney Kent Van Andel's current location address is Po Box 5500, Tyler, Texas. You can contact this provider via phone number 9033246450 and fax number 9035937569. The mailing address for Rodney Kent Van Andel is Po Box 5500, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodney Kent Van Andel |
|---|---|
| Address | Po Box 5500, Tyler, Texas |
| Phone Number | 9033246450 |
| Fax Number | 9035937569 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154326544 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2014-05-14 |
Provider Mailing Address Detail
| Address | Po Box 5500 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 7571255000 |
| Phone Number | 9033246450 |
| Fax Number | 9035937569 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | L7909 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 138771100 | TX | FIRSTCARE SOUTHWEST | |
| P00165779 | TX | RAILROAD MEDICARE | |
| 166412003 | TX | -- | |
| 8K1901 | TX | TEXAS BCBS | |
| TIN PLUS 001 | TX | TRICARE CANTON LOCATION | |
| TIN PLUS 002 | TX | TRICARE LAKE PALESTINE LOCATIO | |
| TIN PLUS 028 | TX | TRICARE | |
| PP10013213 | TX | TEXAS WORKERS COMP | |
| 129375 | TX | CHIPS | |
| 8V5495 | TX | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Rodney Kent Van Andel by the Centers for Medicare & Medicaid Services?
The Rodney Kent Van Andel has been issued the NPI (National Provider Identifier) 1154326544. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Rodney Kent Van Andel is located?
The Rodney Kent Van Andel is situated at the following address: Po Box 5500, Tyler, TX, 7571255000.
What is Rodney Kent Van Andel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rodney Kent Van Andel is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
When did the Rodney Kent Van Andel receive its 1154326544?
The Rodney Kent Van Andel was issued its 1154326544 on 2005-06-14, which is the date when the organization was assigned this unique identifier.
When was the Rodney Kent Van Andel's information last updated?
The Rodney Kent Van Andel's information was last updated on 2014-05-14.
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