Stefan P. Thiele, M.D., P.A.

LBN: Stefan P. Thiele, M.D., P.A.
Stefan P. Thiele, M.D., P.A. is an health care organization with primary practice located at 1320 Doctors Dr , Tyler TX 75701-2262. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Stefan P. Thiele, M.D., P.A. can be contacted via phone (903) 595-0105, or through Thiele, Stefan Peter via phone (903) 595-0105.

Contact Information

Primary practice address
1320 Doctors Dr Tyler TX 75701-2262
Phone: (903) 595-0105
Fax: (903) 595-0103
Website:
Map and Directions
Authorized official contact:
Name: Thiele, Stefan Peter Doctor of Medicine (MD)
Phone: (903) 595-0105

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L4756 Texas

Profile Details

NPI number 1922298876
LBN Legal business name Stefan P. Thiele, M.D., P.A.
DBA Doing business as
Authorized official Thiele, Stefan Peter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 26th, 2007 - about 18 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 1922298876 NPPES
Texas Other 8600B9 MEDICARE GROUP

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