Gastroenterology Of Tyler, P.A. in Tyler - Medical

Gastroenterology Of Tyler, P.A. - NPI 1598947251

Gastroenterology Of Tyler, P.A. is a Medical in Tyler, Texas. Gastroenterology Of Tyler, P.A. practices all healthcare services and medical treatments related to Medical. The NPI Number for Gastroenterology Of Tyler, P.A. is 1598947251. The last update date is 2011-11-17.

Gastroenterology Of Tyler, P.A.'s current location address is 700 Olympic Plaza Cir, Tyler, Texas. You can contact this provider via phone number 9035970202 and fax number 9035970231. The mailing address for Gastroenterology Of Tyler, P.A. is 700 Olympic Plaza Cir, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gastroenterology Of Tyler, P.A.
Address 700 Olympic Plaza Cir, Tyler, Texas
Phone Number 9035970202
Fax Number 9035970231
Sole Proprietor --
Credentials --

Authorized Official

Title or Position GASTROENTE
Authorized Official Name Hutto A Stephen
Credentials M.D.
Telephone Number 9035970202

NPI Number Detail

NPI Number 1598947251
Provider Enumeration Date 2007-12-04
Last Updated Date 2011-11-17

Provider Mailing Address Detail

Address 700 Olympic Plaza Cir
City Tyler
State Texas (TX)
Post Code 757011951
Phone Number 9035970202
Fax Number 9035970231

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
152564401 TX --
0013JE TX BLUECROSS & BLUESHIELD
100016832 TX RAILROAD MEDICARE

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FAQs about Gastroenterology Of Tyler, P.A.

What is the unique 10-digit identification code assigned to Gastroenterology Of Tyler, P.A. by the Centers for Medicare & Medicaid Services?

The Gastroenterology Of Tyler, P.A. has been issued the NPI (National Provider Identifier) 1598947251, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Gastroenterology Of Tyler, P.A. is geographically located?

The Gastroenterology Of Tyler, P.A. is physically situated at the following location: 700 Olympic Plaza Cir, Tyler, TX, 757011951.

What is Gastroenterology Of Tyler, P.A.'s area of expertise and its corresponding taxonomy classification?

The Gastroenterology Of Tyler, P.A.'s field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.

When was the Gastroenterology Of Tyler, P.A.'s 1598947251 issued?

The Gastroenterology Of Tyler, P.A.'s 1598947251 was issued on 2007-12-04.

When was the Gastroenterology Of Tyler, P.A.'s information last updated?

The Gastroenterology Of Tyler, P.A.'s information was last updated on 2011-11-17.

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