| Inpatient Medical Doctors Pa | |
|
800 E Dawson St Tyler TX 75701-2036 | |
| (903) 780-2364 | |
| Not Available |
| Full Name | Inpatient Medical Doctors Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 800 E Dawson St, Tyler, Texas |
| Authorized Official Name and Position | Albert Stephen (OWNER) |
| Authorized Official Contact | 9037802364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpatient Medical Doctors Pa Po Box 130907 Tyler TX 75713-0907 Ph: (903) 780-2364 | Inpatient Medical Doctors Pa 800 E Dawson St Tyler TX 75701-2036 Ph: (903) 780-2364 |
| NPI Number | 1588711642 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588711642 | NPI | - | NPPES |
| 186704601 | Medicaid | TX | |
| DF9402 | Other | TX | RAILROAD MEDICARE |
| 0001PM | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K1937 (Texas) | Primary |
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