Organization
PREMIER NEPHROLOGY OF TYLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY DALE WOODARD M.D. (MEDICAL DOCTOR)
(903) 566-2677
Entity
Organization
Contact information
Practice address
1304 DOCTORS DR, TYLER, TX 75701-2262
(903) 566-2677
(903) 848-9513
Mailing address
2702 E 5TH ST, 339, TYLER, TX 75701-5021
(903) 566-2677
(903) 848-9513
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
H8527
TX
Other
Enumeration date
03/28/2011
Last updated
05/19/2011
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