Organization
TYLER PHYSICAL MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F HOLLEMAN HOLLEMAN JR. DO (DIRECT OWNER)
(903) 526-2323
Entity
Organization
Contact information
Practice address
2708 E 5TH ST, TYLER, TX 75701-5021
(903) 526-2323
(903) 526-2484
Mailing address
2708 E 5TH ST, TYLER, TX 75701-5021
(903) 526-2323
(903) 526-2484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6215
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
K4082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162882801
—
TX
Enumeration date
02/04/2007
Last updated
06/27/2008
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