| Learningrx-tyler | |
|
3200 Troup Hwy Suite 250 Tyler TX 75701-8397 | |
| (903) 617-6899 | |
| (903) 747-3804 |
| Full Name | Learningrx-tyler |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3200 Troup Hwy, Tyler, Texas |
| Authorized Official Name and Position | Henry Martin Krueger (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9036176899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Learningrx-tyler 3200 Troup Hwy Suite 250 Tyler TX 75701-8397 Ph: (903) 617-6899 | Learningrx-tyler 3200 Troup Hwy Suite 250 Tyler TX 75701-8397 Ph: (903) 617-6899 |
| NPI Number | 1497016638 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497016638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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