Thaddeus Rex Tolleson in Tyler - Interventional Cardiology
Thaddeus Rex Tolleson - NPI 1912992082
Thaddeus Rex Tolleson is a Interventional Cardiology in Tyler, Texas. Thaddeus Rex Tolleson practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for Thaddeus Rex Tolleson is 1912992082. The last update date is 2017-04-26.
Thaddeus Rex Tolleson's current location address is 619 S Fleishel Ave, Tyler, Texas. You can contact this provider via phone number 9035955514. The mailing address for Thaddeus Rex Tolleson is 619 S Fleishel Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Thaddeus Rex Tolleson |
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Address | 619 S Fleishel Ave, Tyler, Texas |
Phone Number | 9035955514 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1912992082 |
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Provider Enumeration Date | 2005-09-15 |
Last Updated Date | 2017-04-26 |
Provider Mailing Address Detail
Address | 619 S Fleishel Ave |
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City | Tyler |
State | Texas (TX) |
Post Code | 757012004 |
Phone Number | 9035955514 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Interventional Cardiology |
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Taxonomy | 207Ri0011X |
Licence No | J6770 |
Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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221985502 | TX | UNITED HEALTHCARE | |
8G7380 | TX | BCBS | |
8V5491 | TX | BCBS TRINITY | |
154221901 | TX | -- | |
7773430 | TX | AETNA |
Post Comment/ Review Below
What is the Thaddeus Rex Tolleson's unique identification number?
The Thaddeus Rex Tolleson has been assigned the NPI (National Provider Identifier) Number 1912992082 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Thaddeus Rex Tolleson is located?
The Thaddeus Rex Tolleson is situated at the following address: 619 S Fleishel Ave, Tyler, TX, 757012004.
What is Thaddeus Rex Tolleson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Thaddeus Rex Tolleson is Interventional Cardiology, and the taxonomy code that categorizes this field of expertise is 207Ri0011X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912992082 to Thaddeus Rex Tolleson?
The Centers for Medicare & Medicaid Services originally issued the 1912992082 to Thaddeus Rex Tolleson on 2005-09-15.
When was the information regarding Thaddeus Rex Tolleson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Thaddeus Rex Tolleson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-04-26.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH