Tyler Hospitalists, P.a. | |
1000 S Beckham Ave Tyler TX 75701-1908 | |
(903) 780-2123 | |
Not Available |
Full Name | Tyler Hospitalists, P.a. |
---|---|
Speciality | Internal Medicine |
Location | 1000 S Beckham Ave, Tyler, Texas |
Authorized Official Name and Position | Paul J. Lim (PRESIDENT) |
Authorized Official Contact | 9037802123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tyler Hospitalists, P.a. P.o. Box 132539 Tyler TX 75713-2539 Ph: (903) 780-2123 | Tyler Hospitalists, P.a. 1000 S Beckham Ave Tyler TX 75701-1908 Ph: (903) 780-2123 |
NPI Number | 1609998699 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 04/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609998699 | NPI | - | NPPES |
DA2459 | Other | TX | RAILROAD MEDICARE |
00982U | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K4936 (Texas) | Primary |
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