Organization · Type 2 NPI

Tyler Office of Pediatrics P A

Specialist · Tyler, TX

NPI number 1851574032 Active

Practice location

4801 Troup Hwy, Suite 301
Tyler, TX 75703-2356

Call (903) 595-3220 Map

Fax (903) 595-3887

Mailing address

PO Box 131866
Tyler, TX 75713-1866

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XJ4527 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1851574032

Tyler Office of Pediatrics P A's National Provider Identifier is 1851574032, issued on Dec 11, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tyler, TX. The record was last updated on Apr 9, 2012.