Individual
PATRICK J HEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 S FLEISHEL AVE, TYLER, TX 75701-2037
(903) 593-0236
(903) 593-9375
Mailing address
1000 S FLEISHEL AVE, TYLER, TX 75701-2037
(903) 593-0236
(903) 593-9375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
25664
TX
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145987
—
TX
Enumeration date
05/20/2009
Last updated
02/06/2020
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