| Gastroenterology Of Tyler, P.a. | |
|
700 Olympic Plaza Cir Suite 410 Tyler TX 75701-1951 | |
| (903) 597-0202 | |
| (903) 597-0231 |
| Full Name | Gastroenterology Of Tyler, P.a. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 700 Olympic Plaza Cir, Tyler, Texas |
| Authorized Official Name and Position | Stephen A Hutto (GASTROENTEROLOGIST) |
| Authorized Official Contact | 9035970202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Of Tyler, P.a. 700 Olympic Plaza Cir Suite 410 Tyler TX 75701-1951 Ph: (903) 597-0202 | Gastroenterology Of Tyler, P.a. 700 Olympic Plaza Cir Suite 410 Tyler TX 75701-1951 Ph: (903) 597-0202 |
| NPI Number | 1598947251 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 11/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598947251 | NPI | - | NPPES |
| 152564401 | Medicaid | TX | |
| 0013JE | Other | TX | BLUECROSS & BLUESHIELD |
| 100016832 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
Pure Radiance Laser Retreat Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6722 S Broadway Ave, Tyler, TX 75703 Phone: 903-561-0300 | |
Clifford D. Mullins, D.c., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14653 Eastside Rd, Tyler, TX 75707 Phone: 903-566-4449 | |
Frank P Reuter Jr Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 S Bois D Arc Ave, Tyler, TX 75701 Phone: 903-597-5579 Fax: 903-597-5722 | |
David W Ball Md Internal Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5407 New Copeland Rd Ste 200, Tyler, TX 75703 Phone: 903-330-2081 Fax: 903-630-9309 | |
Integrity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 Old Bullard Rd Ste B, Tyler, TX 75703 Phone: 903-630-5595 Fax: 903-630-5599 | |
Clinica Hispana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S Southwest Loop 323 Ste 140, Tyler, TX 75702 Phone: 903-530-0240 | |
Bwbl Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6770 Old Jacksonville Hwy Ste 101, Tyler, TX 75703 Phone: 903-352-3250 Fax: 903-221-9183 |