Organization
AZALEA INTERNAL MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL H ADELMAN MD (PRESIDENT, SOLE MEMBER)
(903) 509-4100
Entity
Organization
Contact information
Practice address
1100 E LAKE ST, TYLER, TX 75701-3343
(903) 509-4100
Mailing address
PO BOX 6367, TYLER, TX 75711-6367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J8194
TX
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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