The Physicians Clinic Pa

LBN: The Physicians Clinic Pa
The Physicians Clinic Pa is an health care organization with primary practice located at 13082 County Road 2320 , Tyler TX 75707-5914. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. The Physicians Clinic Pa can be contacted via phone (903) 245-9647, or through Bentley, Andrew E via phone (903) 245-9647.

Contact Information

Primary practice address
13082 County Road 2320 Tyler TX 75707-5914
Fax:
Website:
Authorized official contact:
Name: Bentley, Andrew E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1992818181
LBN Legal business name The Physicians Clinic Pa
DBA Doing business as
Authorized official Bentley, Andrew E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Aug 29th, 2013 - about 11 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 1992818181 NPPES
Texas MEDICAID 159935901
Texas Other 0056JF

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