Organization
TYLER HEMATOLOGY ONCOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED ERNEST (ADMINISTRATOR)
(903) 593-8264
Entity
Organization
Contact information
Practice address
721 CLINIC DR, STE A, TYLER, TX 75701-2043
(903) 592-6152
(903) 526-0629
Mailing address
721 CLINIC DR, STE A, TYLER, TX 75701-2043
(903) 592-6152
(903) 526-0629
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045835803
—
TX
05
—
095058601
—
TX
05
—
102771601
—
TX
05
—
106291101
—
TX
05
—
130290303
—
TX
05
—
161891001
—
TX
05
—
1705592-03
—
TX
Enumeration date
05/31/2005
Last updated
11/17/2016
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