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
Fax:
Website:
Authorized official contact:
Name: Olsson-Detwiler, Aleksandra Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073601118 NPPES
Texas Other 0056LZ BCBS
Texas Other DC1535 BCBS

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