Gregory Conrad Kotheimer in Tyler - Internal Medicine
Gregory Conrad Kotheimer - NPI 1164551594
Gregory Conrad Kotheimer is a Internal Medicine in Tyler, Texas. Gregory Conrad Kotheimer practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gregory Conrad Kotheimer is 1164551594. The last update date is 2007-07-08.
Gregory Conrad Kotheimer's current location address is 3728 Southpark Dr, Tyler, Texas. You can contact this provider via phone number 9035957349 and fax number 9035931966. The mailing address for Gregory Conrad Kotheimer is 3728 Southpark Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Conrad Kotheimer |
|---|---|
| Address | 3728 Southpark Dr, Tyler, Texas |
| Phone Number | 9035957349 |
| Fax Number | 9035931966 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164551594 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3728 Southpark Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757031707 |
| Phone Number | 9035957349 |
| Fax Number | 9035931966 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 410 |
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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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What is the unique provider identifier assigned to Gregory Conrad Kotheimer?
The Gregory Conrad Kotheimer has been issued the NPI (National Provider Identifier) 1164551594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Gregory Conrad Kotheimer's physical address?
The Gregory Conrad Kotheimer is physically located at 3728 Southpark Dr, in the city of Tyler, TX, with the postal code 757031707.
What is Gregory Conrad Kotheimer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregory Conrad Kotheimer is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
When did Gregory Conrad Kotheimer receive its 1164551594 assignment?
The Gregory Conrad Kotheimer was assigned its 1164551594 on 2007-03-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Gregory Conrad Kotheimer last refreshed?
The information related to the Gregory Conrad Kotheimer, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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