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TYLER HEMATOLOGY ONCOLOGY P.A. NPI 1023011491


NPI Information

NPI: 1023011491
Provider Name: TYLER HEMATOLOGY ONCOLOGY, P.A.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
721 CLINIC DR
STE A
TYLER, TX
ZIP 75701
Phone: (903) 592-6152
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TYLER HEMATOLOGY ONCOLOGY, P.A. is a hematology and oncology internal medicine in Tyler, TX. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. TYLER HEMATOLOGY ONCOLOGY, P.A. NPI is 1023011491. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

721 CLINIC DR
STE A
TYLER, TX
ZIP 75701-043
Phone: (903) 592-6152
Fax: (903) 526-0629

The provider's authorized official is Fred Ernest .
The authorized official title is Administrator and has the following contact phone number (903) 593-8264.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 11/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1045835803MEDICAIDTEXAS
2E89273MEDICARE UPINTEXAS
3H29560MEDICARE UPINTEXAS
48B9477MEDICARE ID-TYPE UNSPECIFIEDTEXASJOSEPH MARTINS, MD
5106291101MEDICAIDTEXAS
6G99801MEDICARE UPINTEXAS
781G952MEDICARE ID-TYPE UNSPECIFIEDTEXASARIELLE LEE, MD
882420NMEDICARE ID-TYPE UNSPECIFIEDTEXASMICHAEL ASHIGBI, MD
9095058601MEDICAIDTEXAS
10F71999MEDICARE UPINTEXAS
1100A55JMEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP ID
12CP6387MEDICARE ID-TYPE UNSPECIFIEDTEXASRR GROUP ID
13364833ZHVSMEDICARE PINTEXAS
14130290303MEDICAIDTEXAS
1589M833MEDICARE ID-TYPE UNSPECIFIEDTEXASROBERT DRODER, MD
16C18272MEDICARE UPINTEXAS
178A9798MEDICARE ID-TYPE UNSPECIFIEDTEXASMYRTHA BASILE, MD
18B42259MEDICARE UPINTEXAS
198D7633MEDICARE ID-TYPE UNSPECIFIEDTEXASMAUNG OO, MD
20102771601MEDICAIDTEXAS
21161891001MEDICAIDTEXAS
221705592-03MEDICAIDTEXAS
23359299ZHVSMEDICARE PINTEXAS
248L22890MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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