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Organization
INPATIENT MEDICAL DOCTORS PA
Active
Organization
INPATIENT MEDICAL DOCTORS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT STEPHEN M.D. (OWNER)
(903) 780-2364
Entity
Organization
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 780-2364
Mailing address
PO BOX 130907, TYLER, TX 75713-0907
(903) 780-2364
(903) 565-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K1937
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001PM
BCBS
TX
05
—
186704601
—
TX
01
—
DF9402
RAILROAD MEDICARE
TX
Enumeration date
01/04/2007
Last updated
12/02/2014
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