Tyler Office of Pediatrics P A
Tyler Office of Pediatrics P A provides Specialist services in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
Practice location Address checks out
4801 Troup Hwy Ste 301Tyler, TX 75703-2356 Not confirmed with CMS for 14 years — call before visiting
Phone: (903) 595-3220
Fax: (903) 595-3887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence J4527 (TX) |
|---|
Record details
| NPI number | 1851574032 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Smith — Owner/Physician · (903) 595-3220 |
| NPI enumerated | December 11, 2007 |
| Last updated in NPPES | April 9, 2012 |
| Mailing address | Po Box 131866, Tyler, TX 75713-1866 |
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