Tyler Neurosurgical Associates, P.A.

LBN: Tyler Neurosurgical Associates, P.A.
Tyler Neurosurgical Associates, P.A. is an health care organization with primary practice located at 700 Olympic Plaza Cir , Tyler TX 75701-1955. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Tyler Neurosurgical Associates, P.A. can be contacted via phone (903) 595-2441, or through Gideon, Glenda M via phone (903) 590-8012.

Contact Information

Primary practice address
700 Olympic Plaza Cir Tyler TX 75701-1955
Phone: (903) 595-2441
Fax: (903) 595-0743
Website:
Map and Directions
Authorized official contact:
Name: Gideon, Glenda M
Phone: (903) 590-8012

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X

Profile Details

NPI number 1164419727
LBN Legal business name Tyler Neurosurgical Associates, P.A.
DBA Doing business as
Authorized official Gideon, Glenda M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Jan 10th, 2012 - about 12 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 1164419727 NPPES
Texas MEDICAID 094747501

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