Fidone, Jeffrey W.

Fidone, Jeffrey W. is an individual health care provider with primary practice located at 15210 County Road 164 , Tyler TX 75703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Fidone, Jeffrey W. can be contacted via phone (903) 571-1985.

Contact Information

Primary practice address
15210 County Road 164 Tyler TX 75703
Phone: (903) 571-1985
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 31842 Oklahoma
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X H6215 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X H6215 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01080093A Indiana

Profile Details

NPI number 1316945694
LBN Legal business name Fidone, Jeffrey W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Aug 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316945694 NPPES
Texas MEDICAID 102165102
Texas Other 290005858

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