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Organization
TYLER ENDOSCOPY CENTER, LTD
Active
Organization
TYLER ENDOSCOPY CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NORRIS (ADMINISTRATOR)
(903) 595-5101
Entity
Organization
Contact information
Practice address
1722 SOUTH BECKHAM AVE, TYLER, TX 75701
(903) 595-5101
(903) 597-2314
Mailing address
1720 S BECKHAM AVE, TYLER, TX 75701-4464
(903) 595-5101
(903) 597-2314
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173486501
—
TX
Enumeration date
08/15/2006
Last updated
06/30/2010
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