| Brian Pfeiffer Md Pa | |
|
800 E Dawson St Tyler TX 75701-2036 | |
| (903) 312-4004 | |
| (888) 242-8720 |
| Full Name | Brian Pfeiffer Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 E Dawson St, Tyler, Texas |
| Authorized Official Name and Position | Brian Douglas Pfeiffer (OWNER) |
| Authorized Official Contact | 9033167977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Pfeiffer Md Pa Po Box 130309 Tyler TX 75713-0309 Ph: (903) 312-4004 | Brian Pfeiffer Md Pa 800 E Dawson St Tyler TX 75701-2036 Ph: (903) 312-4004 |
| NPI Number | 1861834947 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/18/2013 |
| Medicare PECOS PAC ID | 8628204955 |
|---|---|
| Medicare Enrollment ID | O20131115000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861834947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K9150 (Texas) | Primary |
| Provider Name | Brian Douglas Pfeiffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548234271 PECOS PAC ID: 8921147281 Enrollment ID: I20091125000403 |
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