Billy Max Eden is a Sleep Medicine in Tyler, Texas. Billy Max Eden practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Billy Max Eden is 1356370464. The last update date is 2017-01-05.
Billy Max Eden's current location address is 120 E Charnwood St, Tyler, Texas. You can contact this provider via phone number 9035251664. The mailing address for Billy Max Eden is 120 E Charnwood St, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Billy Max Eden |
|---|---|
| Address | 120 E Charnwood St, Tyler, Texas |
| Phone Number | 9035251664 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356370464 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2017-01-05 |
Provider Mailing Address Detail
| Address | 120 E Charnwood St |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 7570117080 |
| Phone Number | 9035251664 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 207Rs0012X |
| Licence No | F8094 |
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Definition: An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep speciali |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109389001 | TX | -- | |
| 75-2616977-129 | TX | TRICARE | |
| 8FS313 | TX | BCBS | |
| 75-2616977-026 | TX | TRICARE | |
| 131961809 | TX | -- | |
| P01628359 | TX | RAIL ROAD MEDICARE |
Post Comment/ Review Below
What is the Billy Max Eden's unique identification number?
The Billy Max Eden has been assigned the NPI (National Provider Identifier) Number 1356370464 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 address where Billy Max Eden is geographically located?
The Billy Max Eden is physically situated at the following location: 120 E Charnwood St, Tyler, TX, 7570117080.
What is Billy Max Eden's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Billy Max Eden is Sleep Medicine, and the taxonomy code that categorizes this field of expertise is 207Rs0012X.
On what date did the Billy Max Eden receive its 1356370464 assignment from the Centers for Medicare & Medicaid Services?
The Billy Max Eden was assigned its 1356370464 by the Centers for Medicare & Medicaid Services on 2006-07-01.
As of what date was the information pertaining to Billy Max Eden, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Billy Max Eden, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-01-05.
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