Individual
DR. JOSEPH SOLIMAN WASSEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
2010 SYBIL LN STE 150, TYLER, TX 75703-1830
(903) 504-5459
(903) 504-5460
Mailing address
2010 SYBIL LN STE 150, TYLER, TX 75703-1830
(903) 504-5459
(903) 504-5460
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J2468
TX
2084P0804X
Child & Adolescent Psychiatry Physician
J2468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T73H
BLUE CROSS BLUE SHIELD
TX
01
—
061730
VALUE OPTIONS NUMBER
TX
05
—
136879710
—
TX
01
—
5295014
AETNA NUMBER
TX
Enumeration date
07/25/2006
Last updated
01/24/2019
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