| Bwbl Group | |
|
6770 Old Jacksonville Hwy Ste 101 Tyler TX 75703-0576 | |
| (903) 352-3250 | |
| (903) 221-9183 |
| Full Name | Bwbl Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6770 Old Jacksonville Hwy Ste 101, Tyler, Texas |
| Authorized Official Name and Position | Randall Blake Williams (MANAGING PARTNER) |
| Authorized Official Contact | 9035390768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bwbl Group 6770 Old Jacksonville Hwy Ste 101 Tyler TX 75703-0576 Ph: (903) 352-3250 | Bwbl Group 6770 Old Jacksonville Hwy Ste 101 Tyler TX 75703-0576 Ph: (903) 352-3250 |
| NPI Number | 1093581597 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093581597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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