Theresa Marie Vail is a Psychiatry in Tyler, Texas. Theresa Marie Vail practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Theresa Marie Vail is 1700885605. The last update date is 2014-11-20.
Theresa Marie Vail's current location address is 606 S Fleishel Ave, Tyler, Texas. You can contact this provider via phone number 9035955500 and fax number 9035955506. The mailing address for Theresa Marie Vail is 606 S Fleishel Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Marie Vail |
|---|---|
| Address | 606 S Fleishel Ave, Tyler, Texas |
| Phone Number | 9035955500 |
| Fax Number | 9035955506 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700885605 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2014-11-20 |
Provider Mailing Address Detail
| Address | 606 S Fleishel Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012012 |
| Phone Number | 9035955500 |
| Fax Number | 9035955506 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | L0672 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0392920-03 | TX | -- | |
| 731682660 | TX | TAX ID | |
| 8AJ103 | TX | BCBS | |
| P00039903 | TX | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Theresa Marie Vail by the Centers for Medicare & Medicaid Services?
The Theresa Marie Vail has been assigned the NPI (National Provider Identifier) 1700885605. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Theresa Marie Vail located?
The Theresa Marie Vail is located at 606 S Fleishel Ave, Tyler, TX 757012012.
What is Theresa Marie Vail's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theresa Marie Vail is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
When did Theresa Marie Vail receive its 1700885605 assignment?
The Theresa Marie Vail was assigned its 1700885605 on 2005-07-21, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Theresa Marie Vail most recently updated or revised?
The details related to Theresa Marie Vail, including its address, specialty, and other relevant information, were last updated or revised on 2014-11-20.