Liles, Nathan Daniel

Liles, Nathan Daniel is an individual health care provider with primary practice located at 800 E. Dawson Trinity Mother Frances Hospital, Tyler TX 75701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Liles, Nathan Daniel can be contacted via phone (512) 814-0298.

Contact Information

Primary practice address
800 E. Dawson Trinity Mother Frances Hospital Tyler TX 75701
Phone: (512) 814-0298
Fax: (512) 597-2713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X N2174 Texas

Profile Details

NPI number 1033343611
LBN Legal business name Liles, Nathan Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2009
Last updated Jan 23rd, 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 1033343611 NPPES
Texas MEDICAID 2160947
Texas Other TXB109244

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