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Organization
TYLER ANESTHESIA GROUP, PA
Active
Organization
TYLER ANESTHESIA GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY GENE BENNETT JR. MD (OWNER)
(214) 522-0210
Entity
Organization
Contact information
Practice address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 597-0601
Mailing address
PO BOX 140069, DALLAS, TX 75214-0069
(214) 522-0210
(214) 522-0474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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