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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851574032 | NPPES |
| Texas | MEDICAID | 118586004 | |
| Texas | MEDICAID | 043902803 |
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