Larry Martin Wiertz in Tyler - Endocrinology, Diabetes & Metabolism
Larry Martin Wiertz - NPI 1104928019
Larry Martin Wiertz is a Endocrinology, Diabetes & Metabolism in Tyler, Texas. Larry Martin Wiertz practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Larry Martin Wiertz is 1104928019. The last update date is 2010-01-13.
Larry Martin Wiertz's current location address is 7516 Hollytree Dr, Tyler, Texas. You can contact this provider via phone number 9035611192. The mailing address for Larry Martin Wiertz is 7516 Hollytree Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Martin Wiertz |
|---|---|
| Address | 7516 Hollytree Dr, Tyler, Texas |
| Phone Number | 9035611192 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104928019 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2010-01-13 |
Provider Mailing Address Detail
| Address | 7516 Hollytree Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757030928 |
| Phone Number | 9035611192 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endocrinology, Diabetes & Metabolism |
|---|---|
| Taxonomy | 207Re0101X |
| Licence No | F0822 |
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Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RAILROAD MEDICA | TX | 827113008 | |
| P00404433 | TX | RAILOAD MEDICARE | |
| 128562906 | TX | -- |
Post Comment/ Review Below
What is the Larry Martin Wiertz's unique identification number?
The Larry Martin Wiertz has been assigned the NPI (National Provider Identifier) Number 1104928019 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Larry Martin Wiertz's facilities are situated?
The facilities of Larry Martin Wiertz are physically located at the following address: 7516 Hollytree Dr, Tyler, TX, 757030928.
What is Larry Martin Wiertz's area of expertise and its corresponding taxonomy classification?
The Larry Martin Wiertz's field of specialization is Endocrinology, Diabetes & Metabolism, and it falls under the taxonomy code 207Re0101X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1104928019 to Larry Martin Wiertz?
The Centers for Medicare & Medicaid Services assigned the 1104928019 to Larry Martin Wiertz on 2006-09-01.
As of what date was the information regarding Larry Martin Wiertz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry Martin Wiertz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-13.