Tyler Physical Medicine Associates Pa

LBN: Tyler Physical Medicine Associates Pa
Tyler Physical Medicine Associates Pa is an health care organization with primary practice located at 2708 E 5Th St , Tyler TX 75701-5021. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Tyler Physical Medicine Associates Pa can be contacted via phone (903) 526-2323, or through Holleman, James F Holleman via phone (903) 526-2323.

Contact Information

Primary practice address
2708 E 5Th St Tyler TX 75701-5021
Phone: (903) 526-2323
Fax: (903) 526-2484
Website:
Map and Directions
Authorized official contact:
Name: Holleman, James F Holleman Doctor of Osteopathy (DO)
Phone: (903) 526-2323

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 6215 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X K4082 Texas

Profile Details

NPI number 1265570725
LBN Legal business name Tyler Physical Medicine Associates Pa
DBA Doing business as
Authorized official Holleman, James F Holleman Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2007
Last updated Jun 27th, 2008 - about 17 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 1265570725 NPPES
Texas MEDICAID 162882801

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