Tyler Hematology Oncology, P.A.

LBN: Tyler Hematology Oncology, P.A.
Tyler Hematology Oncology, P.A. is an health care organization with primary practice located at 721 Clinic Dr Ste A, Tyler TX 75701-2043. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Tyler Hematology Oncology, P.A. can be contacted via phone (903) 592-6152, or through Ernest, Fred via phone (903) 593-8264.

Contact Information

Primary practice address
721 Clinic Dr Ste A Tyler TX 75701-2043
Phone: (903) 592-6152
Fax: (903) 526-0629
Website:
Map and Directions
Authorized official contact:
Name: Ernest, Fred
Phone: (903) 593-8264

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1023011491
LBN Legal business name Tyler Hematology Oncology, P.A.
DBA Doing business as
Authorized official Ernest, Fred
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Nov 17th, 2016 - about 9 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 1023011491 NPPES
Texas MEDICAID 106291101
Texas MEDICAID 045835803
Texas MEDICAID 102771601
Texas MEDICAID 130290303
Texas MEDICAID 161891001
Texas MEDICAID 1705592-03
Texas MEDICAID 095058601

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