Individual
RICKY CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-5000
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K7513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066LS
BLUE CROSS BLUE SHIELD
TX
01
—
080162299
RAIL ROAD
TX
05
—
101988707
—
TX
05
—
101988709
—
TX
05
—
101988710
—
TX
05
—
101988711
—
TX
05
—
101988712
—
TX
05
—
101988713
—
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
750818167-044
TRICARE
TX
01
—
750818167022
TRICARE
TX
01
—
8AM870
BCBS
TX
01
—
8EZ073
BCBS
TX
01
—
P00662563
RAIL ROAD
TX
01
—
P00792105
RAIL ROAD
TX
01
—
TIN PLUS 005
TRICARE
TX
01
—
TIN PLUS 015
TRICARE
TX
Enumeration date
06/07/2006
Last updated
08/07/2015
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