Individual
DR. CATHERINE M FIESELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1327 TROUP HWY, TYLER, TX 75701
(903) 510-8840
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
L7945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123908
CHIPS
TX
05
—
164217501
—
TX
05
—
164217502
—
TX
01
—
4343058
AETNA
TX
01
—
750818167007
TRICARE
TX
01
—
752616977021
TRICARE CHAMPUS
TX
01
—
8DH351
BCBS
TX
01
—
FE08G0399
BCBS
TX
01
—
P00194174
MEDICARE RAILROAD
TX
01
—
P01105225
RAIL ROAD
TX
Enumeration date
02/13/2006
Last updated
10/13/2014
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