Theresa M Vail Md Pa

LBN: Theresa M Vail Md Pa
Theresa M Vail Md Pa is an health care organization with primary practice located at 606 S Fleishel Ave , Tyler TX 75701-2012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Theresa M Vail Md Pa can be contacted via phone (903) 595-5500, or through Vail, Theresa Marie via phone (903) 595-5500.

Contact Information

Primary practice address
606 S Fleishel Ave Tyler TX 75701-2012
Phone: (903) 595-5500
Fax: (903) 595-5506
Website:
Map and Directions
Authorized official contact:
Name: Vail, Theresa Marie Doctor of Medicine (MD)
Phone: (903) 595-5500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X L0672 Texas

Profile Details

NPI number 1639267750
LBN Legal business name Theresa M Vail Md Pa
DBA Doing business as
Authorized official Vail, Theresa Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 20th, 2014 - 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 1639267750 NPPES
Texas Other 0076PW BCBS
Texas Other P00039903 BCBS
Texas MEDICAID 168653701 BCBS

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