| Joseph S. Wassef, M.d., P.c. | |
|
2010 Sybil Ln Ste 150 Tyler TX 75703-1830 | |
| (903) 504-5459 | |
| (903) 504-5460 |
| Full Name | Joseph S. Wassef, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2010 Sybil Ln Ste 150, Tyler, Texas |
| Authorized Official Name and Position | Joseph Soliman Wassef (PYSCHIATRIST) |
| Authorized Official Contact | 9035045459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph S. Wassef, M.d., P.c. 2010 Sybil Ln Ste 150 Tyler TX 75703-1830 Ph: (903) 504-5459 | Joseph S. Wassef, M.d., P.c. 2010 Sybil Ln Ste 150 Tyler TX 75703-1830 Ph: (903) 504-5459 |
| NPI Number | 1578850145 |
|---|---|
| Provider Enumeration Date | 07/05/2011 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 9032388178 |
|---|---|
| Medicare Enrollment ID | O20110808000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578850145 | NPI | - | NPPES |
| 061730 | Other | VALUE OPTIONS | |
| 5295014 | Other | TX | AETNA |
| 00T73H | Other | BLUE CROSS AND BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | J2468 (Texas) | Secondary |
| Provider Name | Joseph S Wassef |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043233687 PECOS PAC ID: 8921277062 Enrollment ID: I20110809000210 |
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