Adair Deberry-Carlisl in Tyler - Trauma Surgery
Adair Deberry-Carlisl - NPI 1730110651
Adair Deberry-Carlisl is a Trauma Surgery in Tyler, Texas. Adair Deberry-Carlisl practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for Adair Deberry-Carlisl is 1730110651. The last update date is 2023-03-05.
Adair Deberry-Carlisl's current location address is 630 S Fleishel Ave, Tyler, Texas. You can contact this provider via phone number 9036065560. The mailing address for Adair Deberry-Carlisl is 630 S Fleishel Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adair Deberry-Carlisl |
|---|---|
| Address | 630 S Fleishel Ave, Tyler, Texas |
| Phone Number | 9036065560 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1730110651 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2023-03-05 |
Provider Mailing Address Detail
| Address | 630 S Fleishel Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012041 |
| Phone Number | 9036065560 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Trauma Surgery |
|---|---|
| Taxonomy | 2086S0127X |
| Licence No | 6836 |
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Definition: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8AN626 | TX | BCBSTX | |
| 197530202 | TX | -- | |
| 200908280A | OK | -- | |
| P02531927 | TX | MEDICARE RAIL ROAD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Adair Deberry-Carlisl?
The Adair Deberry-Carlisl has been issued the NPI (National Provider Identifier) 1730110651 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Adair Deberry-Carlisl is physically located?
The Adair Deberry-Carlisl is situated at the following address: 630 S Fleishel Ave, Tyler, TX 757012041.
What is Adair Deberry-Carlisl's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Adair Deberry-Carlisl's specialized field of practice is Trauma Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0127X.
When was the Adair Deberry-Carlisl's 1730110651 issued?
The Adair Deberry-Carlisl's 1730110651 was issued on 2006-07-06.
As of what date were the details related to Adair Deberry-Carlisl most recently updated or revised?
The information pertaining to Adair Deberry-Carlisl, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-05.