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Organization
TYLER INTERNAL MEDICINE ASSOCIATES, P.A.
Active
Organization
TYLER INTERNAL MEDICINE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BUZBEE M.D. (OWNER)
(903) 533-0644
Entity
Organization
Contact information
Practice address
1910 ROSELAND BLVD, TYLER, TX 75701-4246
(903) 533-0644
(903) 533-0441
Mailing address
1910 ROSELAND BLVD, TYLER, TX 75701-4246
(903) 533-0644
(903) 533-0441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059EH
BCBS
TX
01
—
1770695850
NPI
TX
Enumeration date
08/31/2006
Last updated
07/21/2022
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