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Organization
SENIORROUNDS MEDICAL, LLC
Active
Organization
SENIORROUNDS MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM WILSON (CREDENTIALING MANAGER)
(817) 886-4455
Entity
Organization
Contact information
Practice address
1910 ROSELAND BLVD, TYLER, TX 75701-4246
(903) 617-2626
(903) 617-2626
Mailing address
1910 ROSELAND BLVD, TYLER, TX 75701-4246
(903) 617-2626
(903) 617-2626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
12/05/2024
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