Dana Michael Park in Tyler - Internal Medicine
Dana Michael Park - NPI 1215036165
Dana Michael Park is a Internal Medicine in Tyler, Texas. Dana Michael Park practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Dana Michael Park is 1215036165. The last update date is 2015-01-20.
Dana Michael Park's current location address is 1910 Roseland Blvd, Tyler, Texas. You can contact this provider via phone number 9035330644 and fax number 9035330441. The mailing address for Dana Michael Park is 1910 Roseland Blvd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Michael Park |
|---|---|
| Address | 1910 Roseland Blvd, Tyler, Texas |
| Phone Number | 9035330644 |
| Fax Number | 9035330441 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215036165 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2015-01-20 |
Provider Mailing Address Detail
| Address | 1910 Roseland Blvd |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757014246 |
| Phone Number | 9035330644 |
| Fax Number | 9035330441 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | E2776 |
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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 |
|---|---|---|---|
| 88730Y | TX | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Dana Michael Park by the Centers for Medicare & Medicaid Services (CMS)?
The Dana Michael Park has been assigned the NPI (National Provider Identifier) 1215036165. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Dana Michael Park located?
The Dana Michael Park is located at 1910 Roseland Blvd, Tyler, TX 757014246.
Could you please provide the complete physical location address of Dana Michael Park?
The Dana Michael Park is physically situated at 1910 Roseland Blvd, in the city of Tyler, state of TX, with the postal code 757014246.
On what date did the Centers for Medicare & Medicaid Services issue the 1215036165 to Dana Michael Park?
The Dana Michael Park received its 1215036165 assignment from the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the Dana Michael Park's information last updated?
The Dana Michael Park's information was last updated on 2015-01-20.