Organization
TYLER OBSTETRICS AND GYNECOLOGY L L P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTHA BRADLEY (OFFICE MANAGER)
(903) 593-2468
Entity
Organization
Contact information
Practice address
700 OLYMPIC PLAZA CIR, STE 602, TYLER, TX 75701-1951
(903) 593-2468
(903) 595-4181
Mailing address
700 OLYMPIC PLAZA CIR, STE 602, TYLER, TX 75701-1951
(903) 593-2468
(903) 595-4181
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U33B
MEDICARE
TX
05
—
085624701
—
TX
Enumeration date
03/29/2006
Last updated
06/17/2025
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