Magnolia Internal Medicine Associates Pa

LBN: Magnolia Internal Medicine Associates Pa
Magnolia Internal Medicine Associates Pa is an health care organization with primary practice located at 3309 University Blvd , Tyler TX 75701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Magnolia Internal Medicine Associates Pa can be contacted via phone (903) 565-0303, or through Sherman, Denise Ione via phone (903) 565-0303.

Contact Information

Primary practice address
3309 University Blvd Tyler TX 75701
Phone: (903) 565-0303
Fax: (903) 565-5446
Website:
Map and Directions
Authorized official contact:
Name: Sherman, Denise Ione Doctor of Medicine (MD)
Phone: (903) 565-0303

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1972582385
LBN Legal business name Magnolia Internal Medicine Associates Pa
DBA Doing business as
Authorized official Sherman, Denise Ione Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1972582385 NPPES
Other 0057LZ BCBS

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