Tyler Physical Medicine Associates Pa | |
2708 E 5th St, Tyler, TX 75701-5021 | |
(903) 526-2323 | |
(903) 526-2484 |
Full Name | Tyler Physical Medicine Associates Pa |
---|---|
Type | Facility |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 2708 E 5th St, Tyler, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265570725 | NPI | - | NPPES |
162882801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6215 (Texas) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | K4082 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tyler Physical Medicine Associates Pa 2708 E 5th St, Tyler, TX 75701-5021 Ph: (903) 526-2323 | Tyler Physical Medicine Associates Pa 2708 E 5th St, Tyler, TX 75701-5021 Ph: (903) 526-2323 |
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