| Goodyear Family Medical Center | |
|
Hwy 31 West Fm206 Tyler TX 75709 | |
| (903) 592-3257 | |
| (903) 592-3447 |
| Full Name | Goodyear Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | Hwy 31 West Fm206, Tyler, Texas |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodyear Family Medical Center 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Goodyear Family Medical Center Hwy 31 West Fm206 Tyler TX 75709 Ph: (903) 592-3257 |
| NPI Number | 1750456000 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750456000 | NPI | - | NPPES |
| 0069HJ | Other | TX | PRACTICE BCBS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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