Jerry S Putman in Tyler - Obstetrics & Gynecology

Jerry S Putman - NPI 1255516423

Jerry S Putman is a Obstetrics & Gynecology in Tyler, Texas. Jerry S Putman practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Jerry S Putman is 1255516423. The last update date is 2014-11-11.

Jerry S Putman's current location address is 6459 Rochester Way, Tyler, Texas. You can contact this provider via phone number 9035717627 and fax number 8885758182. The mailing address for Jerry S Putman is 6459 Rochester Way, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry S Putman
Address 6459 Rochester Way, Tyler, Texas
Phone Number 9035717627
Fax Number 8885758182
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1255516423
Provider Enumeration Date 2008-01-07
Last Updated Date 2014-11-11

Provider Mailing Address Detail

Address 6459 Rochester Way
City Tyler
State Texas (TX)
Post Code 757034274
Phone Number 9035717627
Fax Number 8885758182

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No F-4396
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
760247287 TX MEDICARE, STATE OF TX

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FAQs about Jerry S Putman

What is the unique provider identifier assigned to Jerry S Putman?

The Jerry S Putman has been issued the NPI (National Provider Identifier) 1255516423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jerry S Putman's facilities are geographically located?

The facilities of Jerry S Putman are physically situated at the following location: 6459 Rochester Way, Tyler, TX, 757034274.

What is Jerry S Putman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jerry S Putman's specialized field of practice is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this area of specialization is 207V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1255516423 to Jerry S Putman?

The Centers for Medicare & Medicaid Services assigned the 1255516423 to Jerry S Putman on 2008-01-07.

When was the information regarding Jerry S Putman most recently updated?

The details pertaining to the Jerry S Putman, including its address, specialty, and other relevant information, were last refreshed on 2014-11-11.

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