Alex Detwiler, M.D., P.A.
LBN: Alex Detwiler, M.D., P.A.
Alex Detwiler, M.D., P.A. is an health care organization with primary practice located at 1000 S Beckham Ave , Tyler TX 75701-1908. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Alex Detwiler, M.D., P.A. can be contacted via phone (903) 521-7838, or through Olsson-Detwiler, Aleksandra via phone (903) 521-7838.
Contact Information
Primary practice address
1000 S Beckham Ave
Tyler TX 75701-1908
Phone: (903) 521-7838
Fax:
Website:
Authorized official contact:
Name: Olsson-Detwiler, Aleksandra Doctor of Medicine (MD)
Phone: (903) 521-7838
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | L1685 | Texas |
Profile Details
| NPI number | 1073601118 |
|---|---|
| LBN Legal business name | Alex Detwiler, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Olsson-Detwiler, Aleksandra Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Feb 28th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073601118 | NPPES |
| Texas | Other | 0056LZ | BCBS |
| Texas | Other | DC1535 | BCBS |
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