Peter William Pendergrass in Tyler - Public Health & General Preventive Medicine
Peter William Pendergrass - NPI 1891850632
Peter William Pendergrass is a Public Health & General Preventive Medicine in Tyler, Texas. Peter William Pendergrass practices all healthcare services and medical treatments related to Public Health & General Preventive Medicine. The NPI Number for Peter William Pendergrass is 1891850632. The last update date is 2022-02-16.
Peter William Pendergrass's current location address is 11937 Us Highway 271, Tyler, Texas. You can contact this provider via phone number 9038777200. The mailing address for Peter William Pendergrass is 11937 Us Highway 271, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter William Pendergrass |
|---|---|
| Address | 11937 Us Highway 271, Tyler, Texas |
| Phone Number | 9038777200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D., M.P. |
NPI Number Detail
| NPI Number | 1891850632 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2022-02-16 |
Provider Mailing Address Detail
| Address | 11937 Us Highway 271 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757083154 |
| Phone Number | 9038777200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Public Health & General Preventive Medicine |
|---|---|
| Taxonomy | 2083P0901X |
| Licence No | H4610 |
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Definition: Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary |
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What is the unique identifier code issued to Peter William Pendergrass by the Centers for Medicare & Medicaid Services?
The Peter William Pendergrass has been assigned the NPI (National Provider Identifier) 1891850632. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Peter William Pendergrass?
The Peter William Pendergrass is situated at 11937 Us Highway 271, in the city of Tyler, state of TX, with the zip code 757083154.
What is the Peter William Pendergrass's specialty and taxonomy code?
The Peter William Pendergrass's specialty is Public Health & General Preventive Medicine, and the corresponding taxonomy code is 2083P0901X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891850632 to Peter William Pendergrass?
The Peter William Pendergrass received its 1891850632 assignment from the Centers for Medicare & Medicaid Services on 2006-12-22.
When was the information pertaining to Peter William Pendergrass most recently updated or revised?
The details related to Peter William Pendergrass, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-16.
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