Leete, Tyler
Leete, Tyler is an individual health care provider with primary practice located at 910 E Houston St Ste 650 , Tyler TX 75702-8370. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Leete, Tyler can be contacted via phone (903) 606-5300.Contact Information
Primary practice address
910 E Houston St Ste 650
Tyler TX 75702-8370
Phone: (903) 606-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | BP10022133 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | N2170 | Texas |
Profile Details
| NPI number | 1760692115 |
|---|---|
| LBN Legal business name | Leete, Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Aug 31st, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760692115 | NPPES |
| Texas | MEDICAID | 284950704 | |
| Texas | MEDICAID | 284950705 | |
| Texas | Other | P02587391 | |
| Texas | Other | P02593035 |
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