Jerry S Putman is a Gynecology in Tyler, Texas. Jerry S Putman practices all healthcare services and medical treatments related to 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 | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | F4396 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 760247287 | TX | MEDICARE, STATE OF TX |
Post Comment/ Review Below
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 Gynecology, and the corresponding taxonomy code that categorizes this area of specialization is 207Vg0400X.
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.