| Diabetic Treatment Centers Of Tyler | |
|
1412 Wsw Loop 323 Tyler TX 75701-9347 | |
| (903) 258-6000 | |
| Not Available |
| Full Name | Diabetic Treatment Centers Of Tyler |
|---|---|
| Speciality | Internal Medicine |
| Location | 1412 Wsw Loop 323, Tyler, Texas |
| Authorized Official Name and Position | Jack M Lamb (CFO) |
| Authorized Official Contact | 9136202344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetic Treatment Centers Of Tyler Po Box 6891 Tyler TX 75711-6891 Ph: () - | Diabetic Treatment Centers Of Tyler 1412 Wsw Loop 323 Tyler TX 75701-9347 Ph: (903) 258-6000 |
| NPI Number | 1386261329 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 07/21/2021 |
| Medicare PECOS PAC ID | 0547687717 |
|---|---|
| Medicare Enrollment ID | O20200902001644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386261329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | R A Lester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740275270 PECOS PAC ID: 0446164297 Enrollment ID: I20031117000063 |
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 |