is a Allergy & Immunology in Tyler, Texas. practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for is 1063679918. The last update date is .
's current location address is Po Box 9910, Tyler, Texas. You can contact this provider via phone number 9035619977 and fax number 9035619985. The mailing address for is Po Box 9910, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 9910, Tyler, Texas |
| Phone Number | 9035619977 |
| Fax Number | 9035619985 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063679918 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 9910 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757112910 |
| Phone Number | 9035619977 |
| Fax Number | 9035619985 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207Ra0201X |
| Licence No | M4963 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Speci |
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