Tyler Office Of Pediatrics P A

LBN: Tyler Office Of Pediatrics P A
Tyler Office Of Pediatrics P A is an health care organization with primary practice located at 4801 Troup Hwy Suite 301, Tyler TX 75703-2356. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Tyler Office Of Pediatrics P A can be contacted via phone (903) 595-3220, or through Smith, Jeffrey P via phone (903) 595-3220.

Contact Information

Primary practice address
4801 Troup Hwy Suite 301 Tyler TX 75703-2356
Phone: (903) 595-3220
Fax: (903) 595-3887
Website:
Map and Directions
Authorized official contact:
Name: Smith, Jeffrey P Doctor of Medicine (MD)
Phone: (903) 595-3220

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J4527 Texas

Profile Details

NPI number 1851574032
LBN Legal business name Tyler Office Of Pediatrics P A
DBA Doing business as
Authorized official Smith, Jeffrey P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Apr 9th, 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 1851574032 NPPES
Texas MEDICAID 118586004
Texas MEDICAID 043902803

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