Organization
TYLER RADIOLOGY ASSOCIATES
Active
Other names
Emphysis
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE LEONARD (MANAGER)
(903) 594-3700
Entity
Organization
Contact information
Practice address
3200 TROUP HWY STE 340, TYLER, TX 75701-8343
(903) 534-3700
Mailing address
3200 TROUP HWY STE 340, TYLER, TX 75701-8343
(903) 534-3700
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K00006916
CHAMPUS ID
TX
Enumeration date
11/21/2006
Last updated
08/22/2020
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