Magnolia Internal Medicine Associates Pa in Tyler - Internal Medicine
Magnolia Internal Medicine Associates Pa - NPI 1972582385
Magnolia Internal Medicine Associates Pa is a Internal Medicine in Tyler, Texas. Magnolia Internal Medicine Associates Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Magnolia Internal Medicine Associates Pa is 1972582385. The last update date is 2020-08-22.
Magnolia Internal Medicine Associates Pa's current location address is 3309 University Blvd, Tyler, Texas. You can contact this provider via phone number 9035650303 and fax number 9035655446. The mailing address for Magnolia Internal Medicine Associates Pa is 3309 University Blvd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Magnolia Internal Medicine Associates Pa |
|---|---|
| Address | 3309 University Blvd, Tyler, Texas |
| Phone Number | 9035650303 |
| Fax Number | 9035655446 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC DIR |
|---|---|
| Authorized Official Name | Sherman Ione Denise |
| Credentials | MD |
| Telephone Number | 9035650303 |
NPI Number Detail
| NPI Number | 1972582385 |
|---|---|
| Provider Enumeration Date | 2006-01-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3309 University Blvd |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75701 |
| Phone Number | 9035650303 |
| Fax Number | 9035655446 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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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 |
|---|---|---|---|
| 0057LZ | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Magnolia Internal Medicine Associates Pa by the Centers for Medicare & Medicaid Services?
The Magnolia Internal Medicine Associates Pa has been assigned the NPI (National Provider Identifier) 1972582385. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Magnolia Internal Medicine Associates Pa's physical address?
The Magnolia Internal Medicine Associates Pa is physically located at 3309 University Blvd, in the city of Tyler, TX, with the postal code 75701.
What is the Magnolia Internal Medicine Associates Pa's area of specialization and corresponding taxonomy classification?
The Magnolia Internal Medicine Associates Pa's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972582385 to Magnolia Internal Medicine Associates Pa?
The Centers for Medicare & Medicaid Services originally issued the 1972582385 to Magnolia Internal Medicine Associates Pa on 2006-01-13.
As of what date were the Magnolia Internal Medicine Associates Pa's details last updated?
The information pertaining to the Magnolia Internal Medicine Associates Pa, including its address, specialty, and other details, was most recently updated on 2020-08-22.