Ty Carl Maddox is a Internal Medicine in Irving, Texas. Ty Carl Maddox practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ty Carl Maddox is 1992871321. The last update date is 2017-03-02.
Ty Carl Maddox's current location address is 2021 N Macarthur Blvd, Irving, Texas. You can contact this provider via phone number 9722532560 and fax number 9722534218. The mailing address for Ty Carl Maddox is 2021 N Macarthur Blvd, Irving, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ty Carl Maddox |
|---|---|
| Address | 2021 N Macarthur Blvd, Irving, Texas |
| Phone Number | 9722532560 |
| Fax Number | 9722534218 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1992871321 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2017-03-02 |
Provider Mailing Address Detail
| Address | 2021 N Macarthur Blvd |
|---|---|
| City | Irving |
| State | Texas (TX) |
| Post Code | 750612219 |
| Phone Number | 9722532560 |
| Fax Number | 9722534218 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | L5445 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 163003001 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ty Carl Maddox?
The Ty Carl Maddox has been issued the NPI (National Provider Identifier) 1992871321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Ty Carl Maddox is physically located?
The Ty Carl Maddox is situated at the following address: 2021 N Macarthur Blvd, Irving, TX 750612219.
What is the Ty Carl Maddox's specialty and taxonomy code?
The Ty Carl Maddox's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When did the Ty Carl Maddox receive its 1992871321?
The Ty Carl Maddox was issued its 1992871321 on 2006-11-28, which is the date when the organization was assigned this unique identifier.
When was the information related to Ty Carl Maddox most recently updated or refreshed?
The details pertaining to the Ty Carl Maddox, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-03-02.